New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
7/25/2024 5:58:00 PM
Cost:
90
Service:
Frame + Lenses
prescribed by doctor:
Dr. Moussa Shoueib
Notes:
1.67 AR + AIRLITE
SPH
CYL
AX
ADD
OD
-7.5
-2.5
175
OS
-5.5
-3
180
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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