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CAD/CAM ORDER

Business Name
Doctor’s Name
Patient’s Name

(        )

Order Date
Due Date
Pick up Date

Case information

check your number
Shade

Crown

PFM
Metal Option
Zirconia
Layering added
Bruxzir
Layering added

Abutment

Titanium
Zirconia Hybrid
Anodizing
Ohter Options

Implant Product Information

Manufacturer
Product name
Platform size

CAD/CAM Abutment Manufacturer Option

SKY manufactured
Others

Abutment Margin Position

Suqra
EQ
Sub
B  L   0.5mm
B  L   1.0mm
B  L   1.5mm
B  L   2.0mm

Pontics Design

Metal Design

Doctor’s instruction

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