New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/26/2024 11:28:00 AM
Cost:
75
Service:
frame iris+ transtion ar modern
prescribed by doctor:
aya
Notes:
SPH
CYL
AX
ADD
OD
-1.25
-0.5
160
OS
-0.25
-0.5
110
Date of visit:
3/30/2024 1:57:00 PM
Cost:
15
Service:
Contact Lenses
prescribed by doctor:
Aya
Notes:
AR Lenses
SPH
CYL
AX
ADD
OD
-1.25
-0.5
160
OS
-0.25
-0.5
110
Date of visit:
5/11/2024 12:46:00 PM
Cost:
15
Service:
change lenses
prescribed by doctor:
Aya
Notes:
Antiblue
SPH
CYL
AX
ADD
OD
-1.25
-0.5
160
OS
-0.25
-0.5
110
Date of visit:
8/15/2024 6:41:00 PM
Cost:
90
Service:
Frame + Lenses
prescribed by doctor:
Old Rx
Notes:
Cartier Frame + Transition W9
SPH
CYL
AX
ADD
OD
-1.25
-0.5
155
OS
-0.25
-0.5
100
Date of visit:
12/28/2024 3:54:00 PM
Cost:
30
Service:
Change lenses
prescribed by doctor:
Dr. Hassan Chahine
Notes:
AR Lenses
SPH
CYL
AX
ADD
OD
-2
0.75
120
OS
-1
0.5
50
Date of visit:
1/2/2025 2:24:00 PM
Cost:
40
Service:
Change lenses
prescribed by doctor:
Dr. Hassan Chahine
Notes:
For Sports Frame AR Lenses
SPH
CYL
AX
ADD
OD
-2
0.75
120
OS
-1
0.5
50
Date of visit:
1/25/2025 3:18:00 PM
Cost:
70
Service:
Sports Goggles + AR Lenses
prescribed by doctor:
Old RX
Notes:
AR Lenses
SPH
CYL
AX
ADD
OD
-2
0.75
120
OS
-1
0.5
50
Date of visit:
1/25/2025 3:18:00 PM
Cost:
70
Service:
Sports Goggles + AR Lenses
prescribed by doctor:
Old RX
Notes:
AR Lenses
SPH
CYL
AX
ADD
OD
-2
0.75
120
OS
-1
0.5
50
Date of visit:
1/25/2025 3:18:00 PM
Cost:
70
Service:
Sports Goggles + AR Lenses
prescribed by doctor:
Old RX
Notes:
AR Lenses
SPH
CYL
AX
ADD
OD
-2
0.75
120
OS
-1
0.5
50
Date of visit:
1/25/2025 3:18:00 PM
Cost:
130
Service:
Tomford + AR Lenses
prescribed by doctor:
Old RX
Notes:
AR Lenses + Transition W9
SPH
CYL
AX
ADD
OD
-2
0.75
120
OS
-1
0.5
50
Date of visit:
2/17/2025 2:59:00 PM
Cost:
35
Service:
change lenses
prescribed by doctor:
dr. CHAHINE
Notes:
AR Lenses
SPH
CYL
AX
ADD
OD
-2
0.75
120
OS
-1
0.5
50
Date of visit:
9/22/2025 3:18:00 PM
Cost:
40
Service:
Change Lenses
prescribed by doctor:
Dr. Nizar Salloukh
Notes:
AntiBlue Lenses for Dist
SPH
CYL
AX
ADD
OD
-0.75
-0.75
40
1.5
OS
0.25
-0.75
100
1.5
Date of visit:
1/30/2026 1:38:00 PM
Cost:
50
Service:
Frame+Lenses
prescribed by doctor:
Dr.Mounir Kasser
Notes:
AR TRANSITION W9
SPH
CYL
AX
ADD
OD
-1.25
-0.75
40
OS
-0.5
-0.5
130
New visit Information
Date of visit:
Cost in this visit:
type of service:
prescribed by doctor
Note:
SPH
CYL
AX
ADD
OD
OS
Back to List