Patient Info
First Name
healtha mary
Last Name
s
Age
45
Address
bryant nagar
Mobile
9944296903
Phone
e mail
Treatment
Medical History
Dental History
Details
Date of visit
Total [Payments]: 16,300
2688
Date of visit13/11/2024
C/C & Rx plans
Treatments47- MOD class 2 composite fillling
Prescription
Payment1,500.00
Balance
Follow up date
Lab
1008
Date of visit06/01/2023
C/C & Rx plans
TreatmentsPolishing done
Prescription
Payment800.00
Balance
Follow up date
Lab
1005
Date of visit04/01/2023
C/C & Rx plans
Treatments12,11,21,22 class 4 composite filling
Prescription
Payment4,000.00
Balance
Follow up date
Lab
929
Date of visit08/12/2022
C/C & Rx plans
Treatmentscomposite repair 42 m class4
Prescription
Payment
Balance
Follow up date
Lab
681
Date of visit24/08/2022
C/C & Rx plans
TreatmentsRct with bioceramic sealer on 42
Prescription
Payment2,800.00
Balance
Follow up date
Lab
636
Date of visit09/08/2022
C/C & Rx plans
Treatments31,32,33 composite fillings
43 m
41 and 42 m and d
neospectra
Prescription
Payment3,600.00
Balance
Follow up date
Lab
635
Date of visit07/08/2022
C/C & Rx plans
Treatments31,32,33 composite fillings
33 m
31 and 32 m and d
neospectra
Prescription
Payment3,600.00
Balance
Follow up date
Lab
Pictures
Images
0No Images
Appointment Details
Time
Appointment Date