Patient Info

First Name Sujitha

Last Name C

Age 33

Address 127 vannar 1st street

Mobile 9843541742

Phone

e mail

Treatment

Medical History

Dental History

Details

Date of visit

Total [Payments]: 20,700

3145 Date of visit25/07/2025 C/C & Rx plans Treatments26 -Class 1 composite filling Prescription Payment1,200.00 Balance Follow up date Lab

3119 Date of visit21/07/2025 C/C & Rx plans Treatments17- indirect pulp capping with theracal and composite filling Prescription Payment1,300.00 Balance Follow up date Lab

2292 Date of visit12/05/2024 C/C & Rx plans Treatments27 obtyuration bioceramic sealer Prescription Payment1,500.00 Balance Follow up date Lab

2217 Date of visit08/05/2024 C/C & Rx plans Treatments27 pre endo acess and bmp Prescription Payment3,500.00 Balance Follow up date Lab

1606 Date of visit05/09/2023 C/C & Rx plans Treatments14 obturation bioceramic sealer Both canals patent Prescription Payment2,000.00 Balance Follow up date Lab

1559 Date of visit14/08/2023 C/C & Rx plans Treatments36 and 37 cention forte filling Prescription Payment2,000.00 Balance Follow up date Lab

1572 Date of visit11/08/2023 C/C & Rx plans Treatments16 direct pulp capping composite filling Prescription Payment1,200.00 Balance Follow up date Lab

1528 Date of visit09/08/2023 C/C & Rx plans Treatments46 AND 47 CLASS 1 composite filling under rd Prescription Payment2,000.00 Balance Follow up date Lab

1529 Date of visit08/08/2023 C/C & Rx plans Treatments14 pre endo access and bmp Prescription Payment2,000.00 Balance Follow up date Lab

427 Date of visit16/05/2022 C/C & Rx plans Treatments35 obturation done bio ceramic sealer Prescription Payment1,500.00 Balance Follow up date Lab

426 Date of visit06/05/2022 C/C & Rx plans Treatmentsacess and bmp done on 35 pre endo DO filling Prescription Payment2,500.00 Balance Follow up date Lab

Pictures

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Appointment Details

Time

Appointment Date