Patient Info

First Name Lailath Nisha

Last Name M

Age 46

Address 4/258/3 1AT STREET,2ND CROSS, RAHAMATH NAGAR, ETTAIYAPURAM ROAD,

Mobile 9486453765

Phone

e mail

Treatment

Medical History Rbs 220

Dental History

Details

Date of visit

Total [Payments]: 3,800

2839 Date of visit26/02/2025 C/C & Rx plans Treatments21,22 - class 4 composite filling Prescription Payment2,600.00 Balance Follow up date Lab

623 Date of visit06/08/2022 C/C & Rx plans Treatments21 class 4 M composite filling under rd Neospectra Prescription Payment1,200.00 Balance Follow up date Lab

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Appointment Details

Time

Appointment Date