- Field Date de livraison is required
- Field Clinique / Cabinet is required
- Field Dresse. / Dr. is required
- Field Prénom (Patient) is required
- Field Nom (Patient) is required
- Field Type de genre is required
- Field Age is required
- Field Cas assurance is required
- Field Photos (Patient) is required
- Field Empreinte Numérique (Scan intra-oral) is required
- Field Essaie is required
- Field Type de travail is required
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