Patient Info
First Name
Regina
Last Name
A
Age
53
Address
Sivagangai
Mobile
9952187579
Phone
e mail
Treatment
Medical History
Dental History
Details
Date of visit
Total [Payments]: 5,700
1952
Date of visit03/02/2024
C/C & Rx plans
TreatmentsMO class 2 composite filling 26
Theracal
Prescription
Payment1,000.00
Balance
Follow up date
Lab
1330
Date of visit07/05/2023
C/C & Rx plans
Treatments14 class 2 composite filling
Prescription
Payment1,200.00
Balance
Follow up date
Lab
1329
Date of visit06/05/2023
C/C & Rx plans
Treatments36 direct pulp capping
Prescription
Payment
Balance
Follow up date
Lab
503
Date of visit22/05/2022
C/C & Rx plans
Treatments28 mo class 2
Prescription
Payment1,000.00
Balance
Follow up date
Lab
195
Date of visit12/01/2022
C/C & Rx plans
Treatments27 pfm crown
class 2 composite with rct done before
Prescription
Payment2,500.00
Balance
Follow up date
Lab
Pictures
Images
0No Images
Appointment Details
Time
Appointment Date
