New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
7/11/2025 2:27:00 PM
Cost:
230
Service:
Frame + Lenses
prescribed by doctor:
Dr. Mohammad Zorkot
Notes:
Infinity transition AR+montage
SPH
CYL
AX
ADD
OD
1.25
-2.5
45
2.5
OS
0.5
-1.25
125
2.5
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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