New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
5/11/2024 3:30:00 PM
Cost:
80
Service:
Change lenses AR 60mm + New Airlite frame (Transition AR)
prescribed by doctor:
Dr. Mahmoud Jaroudi
Notes:
AR + Transition
SPH
CYL
AX
ADD
OD
-1
1.25
5
2.5
OS
-1.25
1
40
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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