New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
3/22/2024 2:24:00 PM
Cost:
110
Service:
Frame +Infinity Lenses Fmc
prescribed by doctor:
Dr. Georges Zagheb
Notes:
We Remove the -0.25 cyl from both eyes
SPH
CYL
AX
ADD
OD
-1.25
100
1.5
OS
-1
90
1.5
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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