New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
11/26/2025 11:46:00 AM
Cost:
360
Service:
Frame + Lenses
prescribed by doctor:
Dr. Moussa Choeib
Notes:
Airlite + AR 1.74 Myopia Control Lenses By IDOL
SPH
CYL
AX
ADD
OD
-8.5
-2.5
170
OS
-6.5
-3
5
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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