Patient Info

First Name dharsha

Last Name s

Age 12

Address

Mobile 9790365299

Phone

e mail

Treatment

Medical History

Dental History

Details

Date of visit

Total [Payments]: 1,000

1138 Date of visit04/03/2023 C/C & Rx plans Treatmentsortho Prescription Payment1,000.00 Balance Follow up date Lab

Pictures

Images

0No Images

Appointment Details

Time

Appointment Date