New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
9/13/2025 2:56:00 PM
Cost:
150
Service:
Frame + Lenses
prescribed by doctor:
Dr. Abbass Baydoun
Notes:
J.F Rey + Progressive Lenses (Infinity+FMC+Montage IDOL)
SPH
CYL
AX
ADD
OD
2
0.5
180
2.75
OS
0.5
2.75
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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