New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/14/2024 12:29:00 PM
Cost:
15
Service:
prescribed by doctor:
Jibai
Notes:
AR
SPH
CYL
AX
ADD
OD
2.25
OS
2.25
Date of visit:
2/15/2024 1:07:00 PM
Cost:
15
Service:
change lenses
prescribed by doctor:
Dr. Oussama Jibaai
Notes:
FOR distance
SPH
CYL
AX
ADD
OD
1.25
0.5
170
OS
1.25
0.5
160
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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