New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/22/2026 5:54:00 PM
Cost:
110
Service:
Frame + Lenses
prescribed by doctor:
dr. osama Jbai
Notes:
Antiblue 60mm
SPH
CYL
AX
ADD
OD
4.75
1.25
80
OS
2.25
1.25
105
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