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cN(w_v(qb"q bT jam <br /> d-C' c,)alm aW 4a <br /> Technician Follow-up Information <br /> Client Name Date of procedure <br /> Areas of concern <br /> Pigment(s) used: Lot : Expires: <br /> Pigment(s) used: Lot : Expires: <br /> Anesthetic used: <br /> Tool used: l (s) used: <br /> Procedure started at: Procedure ended at: <br /> Follow-up appointment scheduled: <br /> 24-48 hour phone call: <br /> Touch ups done <br /> Date: <br /> g <br /> Follow up Procedure Notes: <br />