Patient Info
First Name
Harshini
Last Name
I
Age
16
Address
Mobile
9443177686
Phone
e mail
Treatment
Medical History
Dental History
Details
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
Pictures
Images
0No Images
Appointment Details
Time
Appointment Date