Pacific Dental Center
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Edit Sakila's Information
Patient Name
Registration No
Date
Guardian Name
Guardian Occupation
Age
Present Address
Permanent Address
Photo
Samim Chuddory
do
Phone
Mobile
Email
Medical History
Hypertension
Diabetes
Pregnancy
MI
Bleeding Disorder
Kidney d.
Valular/Other HD.
Liver D.
Allergy
Hypersensitivity
Others
Chief Complains
<p><img alt="" src="/userfiles/s20150704_205333_0000.bmp" style="height:207px; width:150px" /> <img alt="" src="/userfiles/s20150704_210911_0000.bmp" style="height:207px; width:150px" /> <img alt="" src="/userfiles/s20150423_201947_0000t.bmp" style="height:186px; width:135px" /></p>
Investigations
<p><a href="/userfiles/s20150704_205333_0000(1).bmp">/userfiles/s20150704_205333_0000(1).bmp</a></p>
On Examination
Diagnosis
Treatment Plan
<p>R+C+T+cap U21+1</p>
Estimate
<p>18000</p> <p>Less 6000</p> <p>12000</p>
I am agree to get treatment by getting information about my problem and treatment