Date: 06/28/2024 Chart No.

20240628_003749 VATECH Dental Clinic

JOLY DAS 57 YRS^ Gender: F Age: 000Y
R L R L A P A P

33 34 35 36 37 38
B L B L B L B L B L B L

39 40 41 42 43 44
B L B L B L B L B L B L

45 46 47 48 49 50
B L B L B L B L B L B L

72 73 74 75 76 77
B L B L B L B L B L B L

78 79 80 81 82 83
B L B L B L B L B L B L

84 85 86 87 88 89
B L B L B L B L B L B L
Date: 06/28/2024 Chart No. 20240628_003749 VATECH Dental Clinic
JOLY DAS 57 YRS^ Gender: F Age: 000Y
R L 11 12 13 14
A P A P A P A P

15 16 17 18
A P A P A P A P

R L 9 10 11 12
A P A P A P A P

13 14 15 16
A P A P A P A P

R L 9 10 11 12
R L R L R L R L

13 14 15 16
R L R L R L R L

R L 7 8 9 10
R L R L R L R L

11 12 13 14
R L R L R L R L
Date: 06/28/2024 Chart No. 20240628_003749 VATECH Dental Clinic
JOLY DAS 57 YRS^ Gender: F Age: 000Y
A P A P

TH [30.0mm] TH [30.0mm]