New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
8/28/2025 3:24:00 PM
Cost:
70
Service:
Frame + Lenses
prescribed by doctor:
dr. ibrahim Dunya
Notes:
Transition AR w9
SPH
CYL
AX
ADD
OD
1.5
-0.5
165
OS
1.25
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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