Details
patient
-
Id
-
394
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Patient Name:
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Salma Homsi
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Phone number:
-
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PD of patient:
-
visits:
-
Date of visit:
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3/28/2024 10:43:00 AM
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Cost:
-
10
-
Service:
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Contact Lenses
-
prescribed by doctor:
-
Old RX
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Notes:
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Old Patient - Clear 55
| |
SPH |
CYL |
AX |
ADD |
| OD |
-3 |
|
|
|
| OS |
-3.25 |
|
|
|
-
Date of visit:
-
5/17/2024 2:30:00 PM
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Cost:
-
11
-
Service:
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Polyview
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prescribed by doctor:
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Old Rx
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Notes:
-
(wasn't comfortable with Clear 55) and we added -0.25
| |
SPH |
CYL |
AX |
ADD |
| OD |
-3.25 |
|
|
|
| OS |
-3.5 |
|
|
|
-
Date of visit:
-
3/26/2025 6:27:00 PM
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Cost:
-
8
-
Service:
-
Contact Lenses
-
prescribed by doctor:
-
Old Rx
-
Notes:
-
Polyview
| |
SPH |
CYL |
AX |
ADD |
| OD |
-3.75 |
|
|
|
| OS |
-3.75 |
|
|
|
-
Date of visit:
-
5/5/2025 11:06:00 AM
-
Cost:
-
8
-
Service:
-
Contact Lenses
-
prescribed by doctor:
-
dr. moussa bassam
-
Notes:
-
poly view
| |
SPH |
CYL |
AX |
ADD |
| OD |
-3.75 |
|
|
|
| OS |
-4 |
|
|
|
-
Date of visit:
-
7/10/2025 5:30:00 PM
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Cost:
-
12
-
Service:
-
Contact Lenses
-
prescribed by doctor:
-
Dr. Moussa Bassam
-
Notes:
-
poly view +solution
| |
SPH |
CYL |
AX |
ADD |
| OD |
-3.75 |
|
|
|
| OS |
-4.25 |
|
|
|
-
Date of visit:
-
12/30/2025 4:31:00 PM
-
Cost:
-
10
-
Service:
-
Contact Lenses
-
prescribed by doctor:
-
Luna
-
Notes:
-
Polyview
| |
SPH |
CYL |
AX |
ADD |
| OD |
-4 |
|
|
|
| OS |
-4.25 |
|
|
|