New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
7/3/2025 12:07:00 PM
Cost:
40
Service:
Frame + Lenses
prescribed by doctor:
Dr. Foad Khreis
Notes:
AR Lenses ONE for Dist ONE for Near
SPH
CYL
AX
ADD
OD
3
-0.5
90
1.75
OS
2.25
1.75
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