New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/22/2025 1:13:00 PM
Cost:
45
Service:
frame+lenses
prescribed by doctor:
Dr. Hussein Hazimeh
Notes:
AntiBlue Lenses Green Coated
SPH
CYL
AX
ADD
OD
0
-3
5
OS
0
-2.5
175
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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