Add Dental Examination - Lithalethu Mpulo

Add Dental Examination

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Patient Information

Name: Lithalethu Mpulo

ID Number:

Account Number:

Account Name:

Examination Details

Examination Date

Main Complaint

Oral Examination

Oral Hygiene Status

Plaque Index

Gingival Index

Soft Tissue Notes

Hard Tissue Notes

Digital Hard Tissue Chart