New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/27/2024 2:43:00 PM
Cost:
40
Service:
change lenses 1.67
prescribed by doctor:
mhmd assaf
Notes:
SPH
CYL
AX
ADD
OD
-8
-2.75
95
OS
-11
-2
85
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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