New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/25/2025 3:54:00 PM
Cost:
100
Service:
2Frame + 2Lenses
prescribed by doctor:
dr. Ali Alhakim
Notes:
AR , Acetate frame , reading frame
SPH
CYL
AX
ADD
OD
0
-0.75
90
2.25
OS
0
-0.5
90
2.25
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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