New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
3/2/2024 3:00:00 PM
Cost:
115
Service:
frame + lenses
prescribed by doctor:
Jean Zalloum
Notes:
IDOL special
SPH
CYL
AX
ADD
OD
2.25
-4
180
OS
2.25
-4.5
180
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