Patient Info

First Name Jenil

Last Name I

Age 15

Address Limestone

Mobile 9944692628

Phone

e mail

Treatment

Medical History

Dental History

Details

Date of visit

Total [Payments]: 4,800

1167 Date of visit06/03/2023 C/C & Rx plans Treatments47 direct pulp capping with theracal Equia forte filling Prescription Payment1,000.00 Balance Follow up date Lab

1142 Date of visit04/03/2023 C/C & Rx plans Treatments16 equia forte Prescription Payment1,000.00 Balance Follow up date Lab

1143 Date of visit03/03/2023 C/C & Rx plans Treatments37 class 1 composite filling Prescription Payment1,000.00 Balance Follow up date Lab

1079 Date of visit02/02/2023 C/C & Rx plans Treatments27 class 1 equiaforte filling Prescription Payment1,000.00 Balance Follow up date Lab

1046 Date of visit23/01/2023 C/C & Rx plans TreatmentsDeep cavity 17 Sdf and tf Prescription Payment400.00 Balance Follow up date Lab

1047 Date of visit11/01/2023 C/C & Rx plans Treatments47 sdf and tf Prescription Payment400.00 Balance Follow up date Lab

Pictures

Images

0No Images

Appointment Details

Time

Appointment Date