ASRANI LASER DENTAL CLINIC & IMPLANT CENTRE

Dr. Anshul A Asrani • MDS - Conservative & Endodontics

Dr. Ravina A Asrani • MDS - Prosthodontist & Implantologist

Patient name Gender / Age Patient WhatsApp no. (with country code) — optional

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ASRANI LASER DENTAL CLINIC & IMPLANT CENTRE

Dr. Anshul A Asrani • MDS - Conservative & Endodontics

Dr. Ravina A Asrani • MDS - Prosthodontist & Implantologist

Reg. No - A-28742 • Rabyjyoti Nest, Ambedkar Road, Nagpur.

Patient

Mr. R Chelani

Male, 38 yrs

Date

Prescription