New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
3/28/2024 11:38:00 AM
Cost:
50
Service:
Change Lenses
prescribed by doctor:
Dr. Ali Reda Haj Hassan
Notes:
Bifocal FMC Idol
SPH
CYL
AX
ADD
OD
-1
60
2.25
OS
-0.75
110
2.25
Date of visit:
3/29/2024 2:40:00 PM
Cost:
35
Service:
Frame+Lenses
prescribed by doctor:
Dr. Ali Reda Haj Hassan
Notes:
We change lenses for Distance and She took frame + lenses for Reading
SPH
CYL
AX
ADD
OD
-1
60
2.25
OS
-0.75
110
2.25
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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