Patient Info
First Name
Daristiona
Last Name
Q
Age
13
Address
Periya kadai street
Mobile
8300740450
Phone
e mail
Treatment
Medical History
Dental History
Details
Date of visit
Total [Payments]: 2,000
461
Date of visit03/06/2022
C/C & Rx plans
Treatmentscomposite filling class 1 26 and 27
Prescription
Payment2,000.00
Balance
Follow up date
Lab
Pictures
Images
0No Images
Appointment Details
Time
Appointment Date