Pacific Dental Center
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Edit Md . Anas's Information
Patient Name
Registration No
Date
Guardian Name
Guardian Occupation
Age
Present Address
Permanent Address
Photo
Koashba , Sadar , Dinajpur
Phone
Mobile
Email
Medical History
Hypertension
Diabetes
Pregnancy
MI
Bleeding Disorder
Kidney d.
Valular/Other HD.
Liver D.
Allergy
Hypersensitivity
Others
Chief Complains
Investigations
On Examination
Diagnosis
Treatment Plan
<p>RCT= U R 4</p>
Estimate
<p>7000</p>
I am agree to get treatment by getting information about my problem and treatment