New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
3/7/2024 10:51:00 AM
Cost:
Service:
Frame + Lenses
prescribed by doctor:
Dr. Mohamad Assaf
Notes:
Metal Frame + AR Lenses (WE CHANGED DEGREES)
SPH
CYL
AX
ADD
OD
0.5
-3.5
180
OS
0.5
-1.75
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