New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
5/23/2025 4:58:00 PM
Cost:
110
Service:
Frame + Lenses
prescribed by doctor:
Dr. Foad Maalouf
Notes:
Transition AR+high index
SPH
CYL
AX
ADD
OD
-1.75
0.75
5
OS
-3.5
1.5
10
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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