Historia Clinica de Operatoria Dental
Historia Clinica de Operatoria Dental
Historia Clinica de Operatoria Dental
Expediente N°_______________
Fecha: _______________
Nombre del Odontólogo: _________________________________________________________
Nombre del Cliente: _____________________________________________________________
Apellido paterno Apellido materno
Nombres
ODONTOGRAMA INICIAL
Especificaciones:_______________________________________________________________________________
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Observaciones:_________________________________________________________________________________
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ODONTOGRAMA DE EVOLUCION
Especificaciones:_______________________________________________________________________________
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Observaciones:_________________________________________________________________________________
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