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Patient Info

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Last Name
Balonzo
First Name
Junlyn
Middle Name
Dupit
Birthdate
October 6, 2009
Age
10
Street
3326 Apitong st.
Barangay
City
Paranaque City
Country
Zip Code
Contact number
Procedure
11-21-2019 > OP = 800 > LC #36 BUCCAL = 800 > #UPPER E LEFT- BUCCAL +OCC = 1,000 > #16 BUCCAL = 1,000 > SEALANT #17 = 800 11-22-2019 > EXO # LOWER C RIGHT = 500 ORAHEX = 200
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Retain Record
Yes