New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
3/14/2024 11:51:00 AM
Cost:
80
Service:
Change Lenses
prescribed by doctor:
Dr. Mohamad Assaf
Notes:
We gave him +1.00 Cyl in the right eye
SPH
CYL
AX
ADD
OD
3
1
165
OS
2.75
1
170
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