Beatriz Dental Clinic

49 Quezon Ave, Lucban, Quezon

Contacts: 09153422768 / 540 1234
E. Add: rovdmd@yahoo.com
RB Dental Laboratory
AUP, Silang, Cavite
Contact nos: 0912345678
Patients Name: Juana De la Cruz
Age: 40
Gender: F

Date: March 14, 2014

Please fabricate a mandibular removable partial denture metal framework. Design specifications
are as follows:
Major Connector: Lingual bar
Base Retention: Ladder type
Direct Retention: I-bar clasp, #34, #45
C-clasp #47
Indirect Retention: MO occlusal rest #44
Rests: MO occlusal rest, #34, #44, #47
DO occlusal rest #45
Guide planes & proximal plates:
Mesial, #31, #42, #47
Distal, #34, #45
Color code:
Blue: Cast Metal
Red: Acrylic-resin base
Please use chromium-cobalt alloy and please send it to my clinic on March 19, 2014. Thank you!

Rmcbeatriz
Rovelyn Mae C. Beatriz, DMD
Lic. No: 2038459