New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
8/14/2024 12:17:00 PM
Cost:
300
Service:
2AIRLITE +lenses AR (1.74)+ LENSES 1.67 TRANSTION
prescribed by doctor:
Dr.Jamal bleik
Notes:
SPH
CYL
AX
ADD
OD
-10.5
2
110
OS
-11.5
3
70
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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