New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
3/25/2025 10:56:00 AM
Cost:
15
Service:
change lenses
prescribed by doctor:
Dr. Moussa Cheib
Notes:
AR
SPH
CYL
AX
ADD
OD
0
-1.5
105
OS
0
-1.75
60
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