New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
9/3/2024 4:33:00 PM
Cost:
70
Service:
airlite + transtion ar
prescribed by doctor:
Luna
Notes:
SPH
CYL
AX
ADD
OD
-1
-0.25
155
OS
-0.5
-0.5
8
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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