New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
7/8/2024 6:37:00 PM
Cost:
200
Service:
Frame + Lenses
prescribed by doctor:
Dr. Hassan Chahine
Notes:
Emporio Armani Frame + Transition Lenses + Compact
SPH
CYL
AX
ADD
OD
-3.25
1.5
85
OS
-1.25
0.75
130
New visit Information
Date of visit:
Cost in this visit:
type of service:
prescribed by doctor
Note:
SPH
CYL
AX
ADD
OD
OS
Back to List