New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
4/19/2024 5:06:00 PM
Cost:
70
Service:
Frame + Lenses
prescribed by doctor:
Dr. Mohammad Assaf
Notes:
Ray-Ban Aviator Frame + AR Lenses+ Transition
SPH
CYL
AX
ADD
OD
0.25
-0.75
95
OS
0.25
-0.5
81
New visit Information
Date of visit:
Cost in this visit:
type of service:
prescribed by doctor
Note:
SPH
CYL
AX
ADD
OD
OS
Back to List