PATIENT

WSL

ICON NUMBERS OF APPLICATION

MICROABRASION REQUEST*

1

2

3

No

2

2

3

No

3

1

3

Si

4

2

3

No

5

1

3

No

6

2

3

No

7

1

3

Si

8

1

3

No

9

2

3

No

10

2

3

No

11

2

3

No

12

1

3

No