New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/9/2026 4:37:00 PM
Cost:
140
Service:
2 frames+Lenses
prescribed by doctor:
Dr. Aghob
Notes:
AR, for near the degrees only astigmatism without myopia
SPH
CYL
AX
ADD
OD
-0.75
-3
90
OS
-1.5
-1.25
80
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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