|
|
|
Order ID: 114482493 <03ZYVGN2>
|
|
Patient: Rathi 1, Mukesh
|
|
Chart #:
|
|
Scanning Date: 12/22/2022
|
| Due Date: 01/04/2023 |
|
|
Dentist: Dr. Futela, Navin
|
|
Ship To Address: FDC - Dr. Futela's Dental Centre D- 13, Market,Opp. Arcadia,Block M South City II,Sector 49 Gurugram Haryana India 122001
|
|
License #: 1234
|
| Ship To: Lab - India Demo Lab |
|
Printed: 12/23/2022 05:46:03
|
|