New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/10/2025 2:09:00 PM
Cost:
65
Service:
Frame + Lenses
prescribed by doctor:
dr. Hussein Chahine
Notes:
metalic frame , AR
SPH
CYL
AX
ADD
OD
-4
3.5
100
OS
-4
3.5
80
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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