Patient Info
First Name
Sifrin
Last Name
M
Age
19
Address
88D/3B vetrivel puram
Mobile
8778868956
Phone
e mail
Treatment
Medical History
Dental History
Details
Date of visit
Total [Payments]: 6,000
199
Date of visit19/01/2022
C/C & Rx plans
TreatmentsClass 1 with buccal extension
Deep cavity near to pulp
Composite filling with GIC liner
Prescription
Payment1,000.00
Balance
Follow up date
Lab
21
Date of visit30/10/2021
C/C & Rx plans
Treatments15 RCT completed
Prescription
Payment2,000.00
Balance200.00
Follow up date
Lab
20
Date of visit20/10/2021
C/C & Rx plans
TreatmentsDO Class II 14 Composite
MO Class II 15 RCT (started)
Prescription
Payment3,000.00
Balance
Follow up date
Lab
Pictures
Images
0No Images
Appointment Details
Time
Appointment Date
