New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
3/7/2025 1:04:00 PM
Cost:
25
Service:
change lenses
prescribed by doctor:
Dr. Hassan Moussa Bassam
Notes:
AR
SPH
CYL
AX
ADD
OD
2.75
0.75
65
OS
2.75
0.75
125
Date of visit:
4/11/2025 12:49:00 PM
Cost:
30
Service:
Frame+Lenses
prescribed by doctor:
Dr. Hussein Alame
Notes:
AR
SPH
CYL
AX
ADD
OD
0
-1
5
OS
0.5
-2
160
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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