New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
6/26/2024 4:22:00 PM
Cost:
50
Service:
Frame + Lenses
prescribed by doctor:
Dr. Ali Hajj
Notes:
Airlite + AR Lenses
SPH
CYL
AX
ADD
OD
3.75
0.5
80
OS
3
1
80
Date of visit:
9/9/2024 2:25:00 PM
Cost:
25
Service:
change lenses
prescribed by doctor:
Old RX
Notes:
AR Lenses + Compact
SPH
CYL
AX
ADD
OD
3.75
0.5
80
OS
3
1
80
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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