New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
7/26/2025 3:14:00 PM
Cost:
80
Service:
frame+lenses
prescribed by doctor:
Dr. Hussein Hazimeh
Notes:
Airlite + AR Lenses 60mm
SPH
CYL
AX
ADD
OD
2.25
1
85
OS
4.5
1
60
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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