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LR
Liza Reyes
+63 917 555 0103liza@example.phDOB 1996-11-21
Outstanding balance
₱4,500
Intake form
Medical & dental history · tooth chart
Service ledger
Running record of services & payments
Treatment history
Extraction
Oct 3, 1969
Wisdom tooth, lower right.
₱6,000
Appointments
Root Canal
Jan 6, 1970 · 09:00 · Dr. Cruz
scheduled
Tooth Extraction
Jan 4, 1970 · 10:30 · Dr. Aquino
scheduled
Cleaning & Polish
Jan 1, 1970 · 13:30 · Dr. Mendoza
scheduled
Payment plans
No active plans.
Payment history
one-time
Oct 3, 1969 · GCash
₱6,000