New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/27/2026 4:55:00 PM
Cost:
15
Service:
Change Lenses
prescribed by doctor:
Dr. Osama Jebaii
Notes:
AR
SPH
CYL
AX
ADD
OD
0.5
0.5
10
OS
0.5
0.5
175
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