New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
4/11/2025 11:34:00 AM
Cost:
180
Service:
Frame + Lenses
prescribed by doctor:
Dr. Ziad khoueir
Notes:
Airlite , Infinity FMC+ Transition +montage
SPH
CYL
AX
ADD
OD
1
0.5
180
2.5
OS
1
0.5
135
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
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