New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/30/2025 2:21:00 PM
Cost:
130
Service:
Frame + Lenses
prescribed by doctor:
Dr. Khalil Fayad
Notes:
Rimless Frame + Polycarbonate + transition
SPH
CYL
AX
ADD
OD
-0.75
-0.75
60
OS
-0.75
-1.25
95
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