New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
5/18/2025 12:35:00 PM
Cost:
80
Service:
Frame + Lenses
prescribed by doctor:
Dr. Jasmine Ghotra
Notes:
AR 1.61 zeiss
SPH
CYL
AX
ADD
OD
-3.25
OS
-3.75
-0.5
9
Date of visit:
6/25/2025 5:59:00 PM
Cost:
Service:
change Lenses
prescribed by doctor:
Notes:
free dr. hussein edited the prescription
SPH
CYL
AX
ADD
OD
-2.75
OS
-3
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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