New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
8/14/2024 11:23:00 AM
Cost:
60
Service:
Airlite + lenses Ar+ change lenses Ar
prescribed by doctor:
Dr.Hasan Chahine
Notes:
SPH
CYL
AX
ADD
OD
-0.25
1.25
180
2.5
OS
-1
1
5
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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