New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/28/2024 3:28:00 PM
Cost:
15
Service:
LENSES
prescribed by doctor:
Dr. Salman Mohammad raad
Notes:
AR
SPH
CYL
AX
ADD
OD
0.5
-1
100
2.5
OS
0
-0.5
55
2.5
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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