New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
5/16/2024 5:57:00 PM
Cost:
60
Service:
Change lenses
prescribed by doctor:
Dr. Moussa Shoueib
Notes:
Anti-Blue
SPH
CYL
AX
ADD
OD
-3.25
-1
170
OS
-3.75
-0.75
10
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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