New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
5/23/2024 5:45:00 PM
Cost:
65
Service:
Change Lenses AR + Transition for Far + Change AR Lenses for Near
prescribed by doctor:
Dr. Ali Hakim
Notes:
Wasn't comfortable at all , mad at doctor and we returned her old lenses. Wants to review with Dr.
SPH
CYL
AX
ADD
OD
-1
170
2
OS
-0.25
-1
10
2
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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