New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
8/22/2024 3:26:00 PM
Cost:
15
Service:
Change lenses AR 60 mm
prescribed by doctor:
Dr. HUSSIEN HAZEIMEH
Notes:
SPH
CYL
AX
ADD
OD
3.5
-2.5
180
OS
6
-3
165
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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