New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
3/22/2024 2:27:00 PM
Cost:
160
Service:
Frame + Lenses
prescribed by doctor:
Dr. Ali Abed Al Hajj
Notes:
US DESIGN+FMC+TRANSTION
SPH
CYL
AX
ADD
OD
-2.75
180
2.5
OS
-3.25
165
2.5
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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