New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/19/2024 11:49:00 AM
Cost:
60
Service:
Frame + Lenses
prescribed by doctor:
Notes:
Airlite + AR Lenses
SPH
CYL
AX
ADD
OD
-3.25
OS
-2.5
-0.5
20
Date of visit:
2/28/2025 2:11:00 PM
Cost:
60
Service:
Frame+Lenses
prescribed by doctor:
Dr. Ali Zeitoun
Notes:
Airlite + AR Lenses compact
SPH
CYL
AX
ADD
OD
-3.5
OS
-2.75
-0.5
14
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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