New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
5/31/2024 4:35:00 PM
Cost:
30
Service:
Change lenses AR
prescribed by doctor:
Aya
Notes:
Polycarbonate for Near (Ali Hajj Hassan)
SPH
CYL
AX
ADD
OD
0.75
-1
140
2
OS
0
-0.5
20
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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