New Visit

patient

Patient Name:

Phone number:

PD of patient:

visits:

Date of visit:: 1/13/2025 11:49:00 AM
Cost:: 65
Service:: Frame + Lenses
prescribed by doctor:: dr. Moussa Cheib
Notes:: AR

	SPH	CYL	AX	ADD
OD	0	-0.5	160
OS	-0.25	-0.25	75

Date of visit:: 3/3/2025 12:32:00 PM
Cost:: 185
Service:: Frame+Lenses
prescribed by doctor:: Dr. Moussa Shoeib
Notes:: progressive pravious Top AR Idol

	SPH	CYL	AX	ADD
OD	1.75	0.25	40	2.75
OS	1.75	0.25	120	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