Details

patient

---

Id

978

Patient Name:

Arsife Grandma

Phone number:

03636852

PD of patient:

visits:

Date of visit:

7/17/2024 6:49:00 PM

Cost:

80

Service:

Frame + Lenses

prescribed by doctor:

Old RX

Notes:

Lenticular Lenses

	SPH	CYL	AX	ADD
OD	12
OS	12

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