Date: 01/23/2024 Chart No.

20240123_090835 VATECH Dental Clinic

DIPAK PANDA^ Gender: M Age: 058Y
R L R L

63 64 65 66 67 68
B L B L B L B L B L B L

69 70 71 72 73 74
B L B L B L B L B L B L

75 76 77 78 79 80
B L B L B L B L B L B L

37 38 39 179 180 181

R L R L R L P A P A P A

40 41 42 182 183 184

R L R L R L P A P A P A

43 44 45 185 186 187

R L R L R L P A P A P A
Date: 01/23/2024 Chart No. 20240123_090835 VATECH Dental Clinic
DIPAK PANDA^ Gender: M Age: 058Y
R L

TH [20.0mm]