New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
4/15/2024 6:12:00 PM
Cost:
200
Service:
Frame + Lenses
prescribed by doctor:
Dr. Hasan Chahine
Notes:
Airlite + AR 60mm LENSES 80$ + Alessia+ Transition LENSES 120$
SPH
CYL
AX
ADD
OD
1.75
2.5
OS
1.75
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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