New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/13/2025 11:12:00 AM
Cost:
220
Service:
Frame + Lenses
prescribed by doctor:
nancy
Notes:
Avanglion frame ., progressive freeform (hassan )
SPH
CYL
AX
ADD
OD
1.5
2
OS
1.75
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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