New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
8/15/2024 11:31:00 AM
Cost:
25
Service:
Change lenses AR (near)
prescribed by doctor:
Aya
Notes:
SPH
CYL
AX
ADD
OD
2.5
1.75
OS
2.75
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
Back to List