New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/24/2024 1:17:00 PM
Cost:
60
Service:
frame iris+ar modern
prescribed by doctor:
luna
Notes:
SPH
CYL
AX
ADD
OD
-1.25
-1
15
OS
-1.5
175
Date of visit:
9/14/2024 5:57:00 PM
Cost:
30
Service:
change lenses
prescribed by doctor:
Dr. Bitar
Notes:
Anti-Blue 1.61
SPH
CYL
AX
ADD
OD
-1.25
-2.75
10
OS
-0.25
-3.5
170
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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