New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/20/2024 5:41:00 PM
Cost:
140
Service:
Frame + Lenses
prescribed by doctor:
Dr. Ibrahim Dunya
Notes:
Oliver Peoples + LENSES
SPH
CYL
AX
ADD
OD
-3
3
90
OS
-2.5
2.5
80
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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