New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/27/2024 5:27:00 PM
Cost:
100
Service:
Frame + Lenses
prescribed by doctor:
Dr. Mustapha Daher
Notes:
2 Frames + 2 Lenses (one reading + one distance)
SPH
CYL
AX
ADD
OD
1
-2
30
2
OS
2
-0.75
136
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