New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
7/15/2024 2:57:00 PM
Cost:
300
Service:
Frame + Lenses
prescribed by doctor:
Dr. Mohamad Assaf
Notes:
infinity FMC transition + Monatge IDOL GUCCI FRAME
SPH
CYL
AX
ADD
OD
1.5
-0.5
80
2.25
OS
1.75
-0.5
90
2.25
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