New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/27/2024 11:45:00 AM
Cost:
60
Service:
Airlite frame
prescribed by doctor:
Mohammad Assaf
Notes:
AR + compact
SPH
CYL
AX
ADD
OD
-1
-4.25
5
OS
-1
-4.25
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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