New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
6/26/2024 4:15:00 PM
Cost:
35
Service:
Change lenses AR
prescribed by doctor:
Dr. Jamal Bleik
Notes:
Anti-Blue Green Coated
SPH
CYL
AX
ADD
OD
-0.25
1.5
85
OS
-0.25
1.5
100
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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