New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
5/25/2024 3:11:00 PM
Cost:
90
Service:
Frame + Lenses
prescribed by doctor:
Dr. Fadi Abou Jurdi
Notes:
For Near ONLY (Airlite)
SPH
CYL
AX
ADD
OD
1.25
0.5
10
2.5
OS
0.75
0.5
100
2.5
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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