New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/15/2025 2:16:00 PM
Cost:
15
Service:
Ready Reading Frame
prescribed by doctor:
Dr. Ali Abed Al Hajj
Notes:
Anti-Blue (Luna Gave him 2.00 because 2.25 was not available)
SPH
CYL
AX
ADD
OD
2.25
OS
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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