New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
9/4/2024 4:12:00 PM
Cost:
15
Service:
Change Lenses
prescribed by doctor:
Notes:
AR Lenses
SPH
CYL
AX
ADD
OD
-0.5
100
OS
-0.75
95
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