Patient Info

First Name Prathiba

Last Name M

Age 14

Address Sivanthakulam road

Mobile 9790325372

Phone

e mail

Treatment

Medical History

Dental History

Details

Date of visit

Total [Payments]: 2,750

1018 Date of visit10/01/2023 C/C & Rx plans Treatments26 and 27 class 1 composite filling No rd Prescription Payment1,750.00 Balance Follow up date Lab

922 Date of visit06/12/2022 C/C & Rx plans Treatments36 class GIC equia forte filling Prescription Payment1,000.00 Balance Follow up date Lab

Pictures

Images

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Appointment Details

Time

Appointment Date