New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
4/3/2024 4:29:00 PM
Cost:
190
Service:
Frame for far + Frame for near
prescribed by doctor:
Dr. Sabrina Rammal + Aya Changed
Notes:
AR + transition for FAR + AR for near
SPH
CYL
AX
ADD
OD
1.25
2
OS
0.5
2
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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