New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
7/30/2024 6:13:00 PM
Cost:
60
Service:
Frame + Lenses New + Change lenses
prescribed by doctor:
Dr. Hussein Hazimeh
Notes:
AR for Far + AR for Near
SPH
CYL
AX
ADD
OD
-3
90
3
OS
0
0
3
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