New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
6/3/2024 6:57:00 PM
Cost:
90
Service:
Change lenses
prescribed by doctor:
Dr. Hassan Chahine
Notes:
Transition AR 1.67
SPH
CYL
AX
ADD
OD
-3.25
0.25
165
OS
-3.25
0.5
175
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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