New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
7/8/2024 5:50:00 PM
Cost:
50
Service:
Frame + Lenses
prescribed by doctor:
Dr. Jamal Bleik
Notes:
AR Lenses + Airlite
SPH
CYL
AX
ADD
OD
-4.5
1
105
OS
-4
0.5
60
Date of visit:
7/17/2024 12:15:00 PM
Cost:
90
Service:
Airlite+ transtion ar high index lenses
prescribed by doctor:
Dr.j Jamal bleik
Notes:
he took frame+ ar lenses for free
SPH
CYL
AX
ADD
OD
-4.5
1
105
OS
-4
0.5
60
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