Patient Info
First Name
Shamshath
Last Name
A
Age
38
Address
29 rahamuthula puram
Mobile
6384036768
Phone
e mail
Treatment
Medical History
Dental History
Details
Date of visit
Total [Payments]: 20,950
2637
Date of visit23/11/2024
C/C & Rx plans
Treatments36 obturation bio ceramic sealer
Prescription
Payment2,700.00
Balance
Follow up date
Lab
1831
Date of visit21/11/2023
C/C & Rx plans
Treatments37 MO Class 2 composite filling
36 pre endo acess and bmp
Prescription
Payment3,500.00
Balance2,700.00
Follow up date
Lab
841
Date of visit26/10/2022
C/C & Rx plans
TreatmentsRefixed dislodged Bridge
In 1 at quatrend
Prescription
Payment500.00
Balance
Follow up date
Lab
331
Date of visit18/03/2022
C/C & Rx plans
Treatments35 RS extraction done
Prescription
Payment450.00
Balance
Follow up date
Lab
325
Date of visit15/03/2022
C/C & Rx plans
Treatments37 gic filling capsule
MO class 2
Prescription
Payment800.00
Balance
Follow up date
Lab
235
Date of visit01/02/2022
C/C & Rx plans
TreatmentsBridge fixing done
Prescription
Payment6,000.00
Balance
Follow up date
Lablewis
217
Date of visit25/01/2022
C/C & Rx plans
TreatmentsCrown and bridge prep on 17 and 14
15 and 16 missing
Prescription
Payment2,000.00
Balance6,500.00
Follow up date
Lablewis
218
Date of visit22/10/2021
C/C & Rx plans
TreatmentsObturation 17
Prescription
Payment1,500.00
Balance
Follow up date
Lab
219
Date of visit15/10/2021
C/C & Rx plans
TreatmentsAcess and BMP 17
Prescription
Payment3,500.00
Balance
Follow up date
Lab
Pictures
Images
0No Images
Appointment Details
Time
Appointment Date