New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
5/17/2025 12:51:00 PM
Cost:
20
Service:
Change Lenses
prescribed by doctor:
Dr. Foad Khreiss
Notes:
AR
SPH
CYL
AX
ADD
OD
-1.5
-0.5
175
OS
-1.5
-0.25
15
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