New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
8/20/2025 3:34:00 PM
Cost:
15
Service:
Frame + Lenses
prescribed by doctor:
Dr. Hussein Hazimeh
Notes:
AR
SPH
CYL
AX
ADD
OD
0
OS
0.5
-1.5
110
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