- NAME OF PATIENT:
- JOLO VELASQUEZ
- PRESENT ADDRESS:
- 72-74 NAT’L H-WAY BRGY. NUEVA SAN PEDRO LAGUNA
- DATE OF BIRTH:
- APRIL 15, 2009
- AGE:
- 1 YR OLD
- FATHER’S NAME:
- DARWIN VELASQUEZ
- OCCUPATION:
- NONE
- MOTHER’S NAME:
- MALLAINE VELASQUEZ
- OCCUPATION:
- HOUSEWIFE
- TYPE OF DEFORMITY:
- CLEFT LIP / PALATE
- HISTORY:
- CONGENITAL
- AVERAGE DAILY INCOME:
- SUPPLIED BY THEIR PARENTS
- NUMBER OF SIBLINGS:
- 2’ND CHILD
- CONTACT NUMBER:
- 520 0953 NEIGHBOR
- STATUS :
- OPERATED BY:
- BEFORE
- AFTER OPERATION
NOTE : NONE
34 Comments
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