Patient Info

First Name noor fathima

Last Name a

Age 15

Address jeylani street

Mobile 9442487079

Phone

e mail

Treatment

Medical History

Dental History

Details

Date of visit

Total [Payments]: 1,500

679 Date of visit20/08/2022 C/C & Rx plans TreatmentsOrtho retainer deivered Prescription Payment1,000.00 Balance Follow up date Lab

638 Date of visit10/08/2022 C/C & Rx plans Treatmentsortho retainer Prescription Payment500.00 Balance1,000.00 Follow up date Lablewis

Pictures

Images

0No Images

Appointment Details

Time

Appointment Date