New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
12/20/2024 11:58:00 AM
Cost:
40
Service:
2 pairs of new Lenses
prescribed by doctor:
Dr. Oussama Jibaai
Notes:
2 AR Lenses
SPH
CYL
AX
ADD
OD
2.75
OS
2.75
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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