Patient details

Patient Info

First Name Indra
Last Name c
Age 55
Address
Mobile 9791253844
Phone

Treatment

Medical History
Dental History
Details
Date of visit
Total [Payments]: 14,700
3129 Date of visit16/07/2025 C/C & Rx plans TreatmentsCrown prep 13,16 Dmls Prescription Payment10,000.00 Balance Follow up date LabLewis
2121 Date of visit16/04/2024 C/C & Rx plans TreatmentsMOD 46 composite filling Prescription Payment1,500.00 Balance Follow up date Lab
1533 Date of visit11/08/2023 C/C & Rx plans Treatments36 DO CLASS 2 COMPOSITE FILLING Prescription Payment1,200.00 Balance Follow up date Lab
1310 Date of visit12/05/2023 C/C & Rx plans Treatments46 and 47 class 1 with buccal extension composite fillings under rd Prescription Payment2,000.00 Balance Follow up date Lab

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