New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
4/8/2025 12:06:00 PM
Cost:
75
Service:
frame +lenses
prescribed by doctor:
Dr. Mohamad Khalifeh
Notes:
Airlite , AR Transition
SPH
CYL
AX
ADD
OD
-1.25
-0.75
35
OS
-1.75
-0.75
165
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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