New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/10/2026 4:50:00 PM
Cost:
60
Service:
Frame + Lenses
prescribed by doctor:
Dr. Mohammad Khalifeh
Notes:
AR 60mm
SPH
CYL
AX
ADD
OD
1.5
0.5
80
OS
2.25
0.75
90
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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