New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
8/13/2024 11:04:00 AM
Cost:
30
Service:
Change lenses (near+ far)
prescribed by doctor:
Dr. Ali Abed Hussien Al Haj
Notes:
AR Lenses 2 pair
SPH
CYL
AX
ADD
OD
-1.25
110
2.5
OS
-1.25
80
2.5
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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