Patient Info
First Name
Inba rathi
Last Name
R
Age
45
Address
5 a 6 7 sivanthakulam middle street
Mobile
9843030791
Phone
e mail
Treatment
Medical History
Dental History
Details
Date of visit
Total [Payments]: 6,500
1482
Date of visit16/07/2023
C/C & Rx plans
Treatments14 crown fixed
45 DO class 2 composite filling gic liner
Contact ok
Prescription
Payment1,500.00
Balance
Follow up date
Lab
1458
Date of visit10/07/2023
C/C & Rx plans
Treatmentscrown prep 14
pfm
Prescription
Payment500.00
Balance
Follow up date
LabLewis
1253
Date of visit03/04/2023
C/C & Rx plans
Treatments14 obturation bioceramic sealer
Prescription
Payment1,500.00
Balance
Follow up date
Lab
1220
Date of visit26/03/2023
C/C & Rx plans
Treatments14 preendo acess and bmb
Prescription
Payment2,500.00
Balance
Follow up date
Lab
450
Date of visit02/06/2022
C/C & Rx plans
Treatmentscrown prep for 45
Prescription
Payment500.00
Balance
Follow up date
Lablewis
Pictures
Images
0No Images
Appointment Details
Time
Appointment Date
