Patient Info

First Name Vidhusha

Last Name W

Age 15

Address

Mobile 9500547055

Phone

e mail

Treatment

Medical History

Dental History

Details

Date of visit

Total [Payments]: 1,000

3095 Date of visit08/07/2025 C/C & Rx plans Treatments27- DO equia forte filling, direct pulp capping with MTA Prescription Payment1,000.00 Balance Follow up date Lab

Pictures

Images

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Appointment Details

Time

Appointment Date