New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
8/9/2024 5:50:00 PM
Cost:
50
Service:
Frame + Lenses
prescribed by doctor:
Dr. Mohamad Assaf
Notes:
AR COMPACT + Metal
SPH
CYL
AX
ADD
OD
3.5
0.5
165
OS
-2
-2
85
New visit Information
Date of visit:
Cost in this visit:
type of service:
prescribed by doctor
Note:
SPH
CYL
AX
ADD
OD
OS
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