New Visit

patient

Patient Name:

Phone number:

PD of patient:

visits:

Date of visit:
Cost:: 60
Service:: frame+ transtion ar modern
prescribed by doctor:: aya
Notes:

	SPH	CYL	AX	ADD
OD		-0.75	90
OS		-0.75	80

Date of visit:: 3/15/2024 10:04:00 AM
Cost:: 0
Service:: Change Lenses
prescribed by doctor:: Dr. Fayssal Awwad
Notes:: Transtion Ar

	SPH	CYL	AX	ADD
OD	1	2	95
OS	0.75	1.5	80

New visit Information

Date of visit:

Cost in this visit:

type of service:

prescribed by doctor

Note:

	SPH	CYL	AX	ADD
OD
OS