New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
4/19/2025 5:07:00 PM
Cost:
230
Service:
Sunglasses With Degrees
prescribed by doctor:
Dr. Hassan Chahine
Notes:
Dolce and Gabbana Exact same color montage Idol
SPH
CYL
AX
ADD
OD
-4
1.5
110
OS
-4
1
85
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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