New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/18/2026 3:26:00 PM
Cost:
26
Service:
Change Lenses
prescribed by doctor:
DR. AT Makased
Notes:
AR, RIGHT EYE REMAINS THE SAME
SPH
CYL
AX
ADD
OD
OS
2
1.5
155
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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