New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
8/20/2024 11:47:00 AM
Cost:
50
Service:
Change lenses Transtion
prescribed by doctor:
Dr. Ali Al Haj
Notes:
SPH
CYL
AX
ADD
OD
1
80
OS
5.5
0.75
90
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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