New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/19/2024 11:56:00 AM
Cost:
Service:
Airlite frame
prescribed by doctor:
Dr Moussa Shouiab
Notes:
infinity FMC
SPH
CYL
AX
ADD
OD
2
0.5
10
2.25
OS
1.5
0.25
155
2.25
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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