New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/21/2024 1:35:00 PM
Cost:
75
Service:
italian frame+ antiblue modern
prescribed by doctor:
aya
Notes:
SPH
CYL
AX
ADD
OD
-0.5
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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