New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
12/5/2024 1:30:00 PM
Cost:
37
Service:
Contact Lenses
prescribed by doctor:
Dr. Jamal Bleik
Notes:
Biofinit Toric MI + Solution
SPH
CYL
AX
ADD
OD
-7
2.25
90
OS
-6.25
1.5
90
New visit Information
Date of visit:
Cost in this visit:
type of service:
prescribed by doctor
Note:
SPH
CYL
AX
ADD
OD
OS
Back to List