New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
7/4/2025 3:33:00 PM
Cost:
150
Service:
Frame + Lenses
prescribed by doctor:
dr. elias shela
Notes:
tommy , proortive with same color
SPH
CYL
AX
ADD
OD
-1.75
0.5
10
OS
-1.5
0.5
180
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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