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Treatment
Date of visit
Total [Payments]: 4,800
1167 Date of visit06/03/2023 C/C & Rx plans Treatments47 direct pulp capping with theracal Equia forte filling Prescription Payment1,000.00 Balance Follow up date Lab
1142 Date of visit04/03/2023 C/C & Rx plans Treatments16 equia forte Prescription Payment1,000.00 Balance Follow up date Lab
1143 Date of visit03/03/2023 C/C & Rx plans Treatments37 class 1 composite filling Prescription Payment1,000.00 Balance Follow up date Lab
1079 Date of visit02/02/2023 C/C & Rx plans Treatments27 class 1 equiaforte filling Prescription Payment1,000.00 Balance Follow up date Lab
1046 Date of visit23/01/2023 C/C & Rx plans TreatmentsDeep cavity 17 Sdf and tf Prescription Payment400.00 Balance Follow up date Lab
1047 Date of visit11/01/2023 C/C & Rx plans Treatments47 sdf and tf Prescription Payment400.00 Balance Follow up date Lab
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      Import log entries for this record.

      CSV file must be formatted with comma as separator, double quote as enclosure, and UTF-8 encoded. Entries with an id that matches an existing entry will overwrite that entry. Entries with no id or with an id that does not match an existing entry will be added as a new entry.

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