Patient Info

First Name Siva Sankaran

Last Name M

Age 9

Address Mela shanmuga puram 1st street

Mobile 9751574265

Phone

e mail

Treatment

Medical History

Dental History

Details

Date of visit

Total [Payments]: 1,000

37 Date of visit06/11/2021 C/C & Rx plans TreatmentsGIC Fillling on 36 capsule no RD Prescription Payment1,000.00 Balance Follow up date Lab

Pictures

Images

0No Images

Appointment Details

Time

Appointment Date