New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
8/4/2025 1:52:00 PM
Cost:
100
Service:
Frame + Lenses
prescribed by doctor:
Dr. Hani Alkhatib
Notes:
0ne old frame for near antiblue , and one double bridge with ARtransition for far
SPH
CYL
AX
ADD
OD
-2.5
1.5
OS
-0.5
-0.5
10
1.5
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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