Patient Info
First Name
daniel
Last Name
w
Age
16
Address
Mobile
9543935374
Phone
e mail
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
Pictures
Images
0No Images
Appointment Details
Time
Appointment Date
