New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/8/2025 11:03:00 AM
Cost:
150
Service:
Frame + Lenses
prescribed by doctor:
dr. Hassan Hazimeh
Notes:
Airlite, progressive + Montage infinity AR idol cut
SPH
CYL
AX
ADD
OD
0
0.5
5
2.5
OS
0
-0.5
135
2.5
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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