New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
4/29/2024 6:47:00 PM
Cost:
60
Service:
Frame + Lenses
prescribed by doctor:
Dr. Hassan Chahine
Notes:
Airlite + AR Lenses 1.61
SPH
CYL
AX
ADD
OD
-5.75
3
95
OS
-5.5
3.5
90
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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