New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
7/16/2024 2:48:00 PM
Cost:
30
Service:
Freshlook or Airoptix BROWN
prescribed by doctor:
Old RX
Notes:
SPH
CYL
AX
ADD
OD
-1.75
OS
-1.75
Date of visit:
8/21/2024 3:18:00 PM
Cost:
80
Service:
FRMELESS+LENSES AR
prescribed by doctor:
Dr.Hasan chahine
Notes:
SPH
CYL
AX
ADD
OD
-1.75
OS
-1.75
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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