New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
6/29/2025 3:03:00 PM
Cost:
40
Service:
Change Lenses
prescribed by doctor:
Dr. Ali Hareb
Notes:
AR Lenses
SPH
CYL
AX
ADD
OD
-2.75
-1.75
50
OS
-3.75
-1
155
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