New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
12/9/2025 2:33:00 PM
Cost:
40
Service:
Frame + Lenses
prescribed by doctor:
dr. chahine
Notes:
AR
SPH
CYL
AX
ADD
OD
2.5
1.5
5
OS
2.25
1.5
170
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