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Patient Name
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Doctor
RubanJ
Janani
Vinoth
Date
root canal:2500
consultation :500
Metal Crown:1500
Scaling:800
Extraction:500
Open Extraction:3500
Wisdom tooth Extractioin:1500
X - Ray:200
Complete Denture:15000
Suture Removal:0
Notes
Age
What is your height?
What is your Weight?
Address?
Medical Conditios
How many hours you sleep in a day?
Have Children?
Last surgery
Veg/Non Veg
Any Allergics
Medical
Currently using any food suplements