New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
4/16/2025 10:49:00 AM
Cost:
50
Service:
change Lenses
prescribed by doctor:
Dr. Salah Ladki
Notes:
AR 1.61
SPH
CYL
AX
ADD
OD
-2.75
1.25
70
OS
-3.25
2
90
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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