New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
7/7/2025 12:48:00 PM
Cost:
90
Service:
Frame + Lenses
prescribed by doctor:
Dr. Mustapha Daher
Notes:
AR Transition W9
SPH
CYL
AX
ADD
OD
-3
-0.75
25
OS
-2.5
-0.5
165
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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