New Visit

patient

Patient Name:

Phone number:

PD of patient:

visits:

Date of visit:: 7/19/2024 1:46:00 PM
Cost:: 35
Service:: Change Lenses
prescribed by doctor:: Dr. Moussa Shoueib
Notes:: Transition AR

	SPH	CYL	AX	ADD
OD	0	-1.5	100
OS	0

Date of visit:: 7/19/2024 1:48:00 PM
Cost:: 0
Service:: nothing just recording the near vision
prescribed by doctor:: Dr. Moussa Shoeib
Notes:: didnt do near (PD: 58 FOR NEAR)

	SPH	CYL	AX	ADD
OD	2.5	-1.5	100
OS

New visit Information

Date of visit:

Cost in this visit:

type of service:

prescribed by doctor

Note:

	SPH	CYL	AX	ADD
OD
OS