New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/2/2025 2:48:00 PM
Cost:
55
Service:
Frame + Lenses
prescribed by doctor:
Hassan Mousa bassam
Notes:
Airlite frame + AR Transition W9
SPH
CYL
AX
ADD
OD
0.25
-1.75
175
OS
0.25
-1.75
10
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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