Patient Info

First Name Nithina

Last Name S

Age 25

Address

Mobile 9500553559

Phone

e mail

Treatment

Medical History

Dental History

Details

Date of visit

Total [Payments]: 2,000

2111 Date of visit05/04/2024 C/C & Rx plans TreatmentsClass 1 composite fillings 46 and 47 Prescription Payment2,000.00 Balance Follow up date Lab

Pictures

Images

0No Images

Appointment Details

Time

Appointment Date