New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
4/2/2025 11:37:00 AM
Cost:
170
Service:
Frame + Lenses
prescribed by doctor:
Dr. Salah Ladki
Notes:
Acuitis frame , pravious top+Transition photogrey +montage
SPH
CYL
AX
ADD
OD
-3.25
0.5
80
3
OS
-3
0.5
170
3
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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