New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
6/18/2025 1:06:00 PM
Cost:
130
Service:
Frame + Lenses
prescribed by doctor:
dr. Abass Baydoun
Notes:
AR
SPH
CYL
AX
ADD
OD
4.5
1.25
100
OS
4.75
1.5
80
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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