Patient Info

First Name Ribana

Last Name M

Age 17

Address

Mobile 7010545641

Phone

e mail

Treatment

Medical History

Dental History

Details

Date of visit

Total [Payments]: 2,300

2620 Date of visit09/11/2024 C/C & Rx plans Treatments37 - Class 1 composite filling 36- MOD table top composite filling Prescription Payment2,300.00 Balance Follow up date Lab

Pictures

Images

0No Images

Appointment Details

Time

Appointment Date