New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
9/17/2024 5:35:00 PM
Cost:
40
Service:
Change Lenses
prescribed by doctor:
Dr. Randa Haddad
Notes:
Transition AR
SPH
CYL
AX
ADD
OD
0
-3
175
OS
-0.25
-2.75
180
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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