New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
7/2/2024 7:00:00 PM
Cost:
20
Service:
Change Lenses
prescribed by doctor:
Dr. Laith Jaber
Notes:
anti-blue green coated
SPH
CYL
AX
ADD
OD
-1.75
-0.5
175
OS
-1.25
-1.25
10
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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