New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
3/13/2025 3:39:00 PM
Cost:
130
Service:
2Frame + Lenses
prescribed by doctor:
Dr.Hassan Chahine
Notes:
AR Lenses
SPH
CYL
AX
ADD
OD
2
OS
2
Date of visit:
1/7/2026 1:01:00 PM
Cost:
90
Service:
Frame+Lenses
prescribed by doctor:
Old RX
Notes:
Antiblue
SPH
CYL
AX
ADD
OD
2
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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