| Opd No. | Tooth No. | Filling | Date | |
|---|---|---|---|---|
| 0000-00-00 | ||||
| 17 | 8 | GLC | 2019-10-09 | |
| 17 | 21 | ZOE | 2019-10-08 | |
| 0000-00-00 | ||||
| 13 | 1 | COMPOSITE | 2018-10-14 | |
| 1 | COMPOSITE | 0000-00-00 | ||
| 5 | 6 | COMPOSITE | 2018-10-02 | |
| COMPOSITE | 0000-00-00 | |||
| 10 | 45 | COMPOSITE | 0000-00-00 | |
| 5 | 6 | COMPOSITE | 0000-00-00 | |
| 5 | 6 | COMPOSITE | 0000-00-00 | |
| 5 | 6 | COMPOSITE | 0000-00-00 | |
| 6 | COMPOSITE | 0000-00-00 |