New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
8/8/2025 12:58:00 PM
Cost:
80
Service:
Change Lenses
prescribed by doctor:
Dr. Ali Hakim
Notes:
AR For near- AR transition W9 for far
SPH
CYL
AX
ADD
OD
-0.75
2.25
OS
-1.5
160
2.25
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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