New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
4/2/2025 6:35:00 PM
Cost:
60
Service:
Frame + Lenses
prescribed by doctor:
Dr. Hussein Alame
Notes:
Rayban + AR Lenses
SPH
CYL
AX
ADD
OD
1.5
OS
1.5
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