New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/9/2025 3:33:00 PM
Cost:
60
Service:
2 Frames + 2 Pair of lenses
prescribed by doctor:
Dr. Mostapha Daher
Notes:
AR Lenses for both
SPH
CYL
AX
ADD
OD
2.75
-0.5
85
2
OS
2.75
-0.5
85
2
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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