New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
8/13/2024 3:34:00 PM
Cost:
45
Service:
Change lenses AR (near)
prescribed by doctor:
Dr. MOHAMMAD ASSAF
Notes:
SPH
CYL
AX
ADD
OD
2.5
2
OS
2
1.25
15
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