Patient Info
First Name
Sudarmani
Last Name
n
Age
39
Address
bryantnagar 7 th street
Mobile
7598565295
Phone
e mail
Treatment
Medical History
Dental History
Details
Date of visit
Total [Payments]: 10,500
2549
Date of visit05/10/2024
C/C & Rx plans12- obturation bio ceramic sealer
Post and core
Treatments
Prescription
Payment2,500.00
Balance
Follow up date
Lab
2531
Date of visit27/09/2024
C/C & Rx plans
Treatments12- acess and bmp
Prescription
Payment2,000.00
Balance
Follow up date
Lab
926
Date of visit05/12/2022
C/C & Rx plans
TreatmentsCrown fixed
Prescription
Payment2,000.00
Balance
Follow up date
Lablewis
919
Date of visit01/12/2022
C/C & Rx plans
Treatments12 composite filling
12 and 13 crown prep
Prescription
Payment4,000.00
Balance2,000.00
Follow up date
Lablewis
Pictures
Images
0No Images
Appointment Details
Time
Appointment Date
