New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
6/29/2024 5:19:00 PM
Cost:
140
Service:
Frame + Lenses
prescribed by doctor:
Dr. Ali Hakim
Notes:
infinity FMC transition + Monatge
SPH
CYL
AX
ADD
OD
0.75
0.5
85
2
OS
1
0.5
85
2
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