New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
8/14/2024 11:04:00 AM
Cost:
70
Service:
Bethoppy Frame+ TRANSTION
prescribed by doctor:
Dr. MOHAMMAD ASSAF
Notes:
SPH
CYL
AX
ADD
OD
0.25
0.5
110
OS
2
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