New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
5/14/2024 3:38:00 PM
Cost:
15
Service:
Change lenses AR
prescribed by doctor:
Dr. Ali Abed Hussein Hajj
Notes:
AR Lenses (Backup # 70759287)
SPH
CYL
AX
ADD
OD
1.75
OS
2.25
0.5
145
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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