New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
7/11/2025 12:21:00 PM
Cost:
120
Service:
2 frames + 2 lenses
prescribed by doctor:
dr. nabih chamas
Notes:
AR Lenses
SPH
CYL
AX
ADD
OD
1
0.5
21
2
OS
-1
-0.75
75
2
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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