New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
8/6/2024 11:17:00 AM
Cost:
260
Service:
2 oliver peoples+ 2 lenses
prescribed by doctor:
Dr.Jamal bleik
Notes:
high index transtion + high index Ar lenses
SPH
CYL
AX
ADD
OD
3
2
90
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
Back to List