New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
3/21/2024 1:39:00 PM
Cost:
120
Service:
Airlite Frame + Lenses
prescribed by doctor:
Dr. Hassan Moussa Bassam
Notes:
We gave him -12.00 -2.50 in the Left eye
SPH
CYL
AX
ADD
OD
-13.5
-2.5
100
OS
-12.5
-2.5
80
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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