New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
6/13/2024 3:43:00 PM
Cost:
15
Service:
Change lenses AR
prescribed by doctor:
Dr. Youssif Daibess
Notes:
For Near ONLY
SPH
CYL
AX
ADD
OD
2.75
-0.5
75
OS
2.75
-0.75
105
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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