Back to patients
MS
Maria Santos
+63 917 555 0101maria@example.phDOB 1990-04-12
Outstanding balance
₱18,000
Intake form
Medical & dental history · tooth chart
Service ledger
Running record of services & payments
Treatment history
Cleaning
Dec 2, 1969
Routine prophylaxis, mild tartar.
₱2,500
Filling — upper molar
Sep 3, 1969
Composite filling, tooth #16.
₱4,500
Appointments
Braces Adjustment
Jan 6, 1970 · 12:00 · Dr. Mendoza
scheduled
Filling
Jan 4, 1970 · 13:30 · Dr. Cruz
scheduled
Root Canal
Jan 1, 1970 · 16:30 · Dr. Aquino
scheduled
Payment plans
Braces — full set
activeTotal ₱60,000 · Downpayment ₱18,000 · ₱7,000/mo
0 of 6 months paid
Payment history
No payments recorded.