New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
12/12/2024 3:17:00 PM
Cost:
130
Service:
Frame + Lenses
prescribed by doctor:
Luna
Notes:
2 frames one old frame for far and one for near Airlite,Alice. AR lenses
SPH
CYL
AX
ADD
OD
-0.25
1.75
OS
0
-0.75
95
2
Date of visit:
12/17/2025 10:47:00 AM
Cost:
25
Service:
Change Lenses
prescribed by doctor:
Dr. Ali Abbass Haidar
Notes:
AR
SPH
CYL
AX
ADD
OD
0
OS
-0.25
-0.25
90
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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