New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
3/21/2024 1:02:00 PM
Cost:
35
Service:
Reading frame+ Change lenses
prescribed by doctor:
Dr. Ali Abed Al Hajj
Notes:
AR Lenses (15$) + Ready Frame +3.50 (20$)
SPH
CYL
AX
ADD
OD
0.75
0.75
55
OS
1
0.5
180
Date of visit:
4/1/2024 1:06:00 PM
Cost:
0
Service:
Frame+Lenses
prescribed by doctor:
Dr. Ali Abed Al Hajj
Notes:
She Change the Frame and we gave her back 15$ since she didn't take the Far Lenses
SPH
CYL
AX
ADD
OD
0.75
0.75
55
2.5
OS
1
0.5
180
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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