Patient Info

First Name daniel
Last Name w
Age 16
Address
Mobile 9543935374
Phone

Treatment

Medical History
Dental History
Details
Date of visit
Total [Payments]: 6,600
1203 Date of visit17/03/2023 C/C & Rx plans Treatments17 Class 2 do Gic capsule Prescription Payment1,000.00 Balance Follow up date Lab
1183 Date of visit10/03/2023 C/C & Rx plans Treatments45 MO class 2 composite filling under rd Prescription Payment1,200.00 Balance Follow up date Lab
1162 Date of visit06/03/2023 C/C & Rx plans Treatments26 composite filling Prescription Payment1,000.00 Balance Follow up date Lab
1163 Date of visit06/03/2023 C/C & Rx plans Treatments37 class 1 composite filling Prescription Payment1,000.00 Balance Follow up date Lab
1164 Date of visit03/03/2023 C/C & Rx plans Treatmentsclass 4 on 12 and 11 Prescription Payment2,400.00 Balance Follow up date Lab

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      Appointment Details

      Appointment Date