New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/4/2026 2:06:00 PM
Cost:
180
Service:
Frame + Lenses
prescribed by doctor:
dr. mustapha Daher
Notes:
progressive infinity FMC + Montage
SPH
CYL
AX
ADD
OD
1.75
-0.75
25
1
OS
1.25
-0.75
143
1
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