New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/24/2024 11:38:00 AM
Cost:
90
Service:
Dior+ New Lenses
prescribed by doctor:
Dr. Moussa Shoueib
Notes:
AR 1.67
SPH
CYL
AX
ADD
OD
-6
-0.5
180
OS
-2
-0.5
160
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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