Patient Info

First Name Bala subramaniam

Last Name M

Age 36

Address 42d amman kovil street briyant nagar

Mobile 9487604911

Phone

e mail

Treatment

Medical History

Dental History

Details

Date of visit

Total [Payments]: 2,400

392 Date of visit09/04/2022 C/C & Rx plans Treatmentsfilling Prescription Payment2,400.00 Balance Follow up date Lab

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Appointment Details

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Appointment Date