Patient Info
First Name
Alice
Last Name
J
Age
51
Address
56 poldenpuram 3rd street
Mobile
9095742808
Phone
e mail
Treatment
Medical History
Dental History
Details
Date of visit
Total [Payments]: 35,200
2371
Date of visit16/07/2024
C/C & Rx plans
Treatments34 crown fixed dmls
Prescription
Payment2,500.00
Balance
Follow up date
LabSpark
2347
Date of visit08/07/2024
C/C & Rx plans
Treatments35 fibre post and core build up
Prescription
Payment1,200.00
Balance
Follow up date
Lab
845
Date of visit22/10/2022
C/C & Rx plans
TreatmentsExtraction 45
Prescription
Payment500.00
Balance
Follow up date
Lab
755
Date of visit17/09/2022
C/C & Rx plans
Treatments13.12 11 21.22 23 Bridge fixation done
Prescription
Payment5,000.00
Balance
Follow up date
Lablewis
730
Date of visit13/09/2022
C/C & Rx plans
Treatmentsold bridge removed ,new prep 22,23 and 13, old prep 12,11, missing 11
Prescription
Payment10,000.00
Balance
Follow up date
Lablewis
465
Date of visit26/05/2022
C/C & Rx plans
Treatments35 obturation with bioceramic
37 class 1 composite filling
Prescription
Payment2,000.00
Balance1,000.00
Follow up date
Lab
464
Date of visit18/05/2022
C/C & Rx plans
Treatments35 acess and bmp
Prescription
Payment2,000.00
Balance
Follow up date
Lab
378
Date of visit19/04/2022
C/C & Rx plans
Treatmentscrown prep 24,25, and 27
Prescription
Payment5,000.00
Balance4,500.00
Follow up date
Lablewis
302
Date of visit07/03/2022
C/C & Rx plans
Treatments27 class 1 composite filling
Prescription
Payment1,000.00
Balance
Follow up date
Lab
266
Date of visit15/02/2022
C/C & Rx plans
Treatments24 obturation done
Bioceramic sealer
Prescription
Payment2,000.00
Balance
Follow up date
Lab
260
Date of visit10/02/2022
C/C & Rx plans23 obturation with composite core
Bioceramic sealer
25 MO class 2 composite filling
Treatments
Prescription
Payment2,000.00
Balance
Follow up date
Lab
202
Date of visit18/01/2022
C/C & Rx plans
TreatmentsAcess opened 23 and 24
23 25mm 6
24 bmp yet to be done
Prescription
Payment2,000.00
Balance
Follow up date
Lab
Pictures
Images
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Appointment Details
Time
Appointment Date
