New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/7/2026 2:35:00 PM
Cost:
280
Service:
Frame + Lenses
prescribed by doctor:
Dr. Abbas Baydoun
Notes:
infinity FMC Transition W9
SPH
CYL
AX
ADD
OD
0.5
-0.75
175
1.25
OS
0.5
-0.75
175
1.25
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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