New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
4/21/2025 11:44:00 AM
Cost:
100
Service:
Frame + Lenses
prescribed by doctor:
Dr. Ali Hajj
Notes:
freeform AR
SPH
CYL
AX
ADD
OD
2.25
2.5
OS
2.25
2.5
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