New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
10/7/2025 2:21:00 PM
Cost:
25
Service:
Change Lenses
prescribed by doctor:
Dr. Ali Hakim
Notes:
AR Lenses 60mm
SPH
CYL
AX
ADD
OD
4
0.75
75
OS
4
0.75
110
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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