Ordine di elaborazione e stampa 3D al reparto digitale

Cognome e Nome del Paziente

Nome del Medico

Ordine Numero

Data

Sesso

Età

Particolari precauzioni da adottare nella fabbricazione

Descrizione del dispositivo

Colore

Campionario

Tipologia Provvisorio Tipologia Provvisorio Prelimatura Post Limatura

Impronte rilevate con

Data Impronte

Consegna

Note

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