New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
12/25/2024 1:20:00 PM
Cost:
25
Service:
change lenses
prescribed by doctor:
Dr. Ali Abed
Notes:
AR Compact
SPH
CYL
AX
ADD
OD
1.5
1.75
100
OS
3.5
70
Date of visit:
1/14/2026 4:45:00 PM
Cost:
110
Service:
Frame+Lenses
prescribed by doctor:
DR. Ali Alhaj
Notes:
AR transition
SPH
CYL
AX
ADD
OD
0.5
2.5
100
OS
-1
4
70
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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