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Treatment
Date of visit
Total [Payments]: 12,600
2704 Date of visit21/12/2024 C/C & Rx plans Treatments12- MO 11, 12-MOD 21- MO Class 4 composite filling under RD Prescription Payment4,800.00 Balance Follow up date Lab
2641 Date of visit30/11/2024 C/C & Rx plans Treatments36- DO class 2 composite filling 37 - MO class 2 composite filling Prescription Payment2,600.00 Balance Follow up date Lab
2259 Date of visit30/05/2024 C/C & Rx plans Treatments34 and 35 Class 2 composite filling Prescription Payment2,600.00 Balance Follow up date Lab
2234 Date of visit22/05/2024 C/C & Rx plans TreatmentsTheracal pulp capping class 2 composite filling on 44 and 45 Prescription Payment2,600.00 Balance Follow up date Lab
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