New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/6/2025 4:03:00 PM
Cost:
20
Service:
Change Lenses
prescribed by doctor:
Dr. Nabih Chamas
Notes:
AR
SPH
CYL
AX
ADD
OD
2.5
OS
2.5
Date of visit:
6/21/2025 6:19:00 PM
Cost:
20
Service:
Change Lenses
prescribed by doctor:
Dr. Nabil Chamas
Notes:
AR FOR NEAR
SPH
CYL
AX
ADD
OD
1.75
0.25
27
OS
2
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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