Patient Info

First Name susila

Last Name x

Age 52

Address sundervelpuram

Mobile 8220261404

Phone

e mail

Treatment

Medical History

Dental History

Details

Date of visit

Total [Payments]: 5,000

576 Date of visit15/07/2022 C/C & Rx plans TreatmentsTrial Prescription Payment3,000.00 Balance Follow up date Lab

562 Date of visit10/07/2022 C/C & Rx plans Treatmentsimpression made for pd Prescription Payment2,000.00 Balance3,000.00 Follow up date Lablewis

Pictures

Images

0No Images

Appointment Details

Time

Appointment Date