New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
Cost:
70
Service:
Frame + 1.67 Ar
prescribed by doctor:
Notes:
SPH
CYL
AX
ADD
OD
-8.5
-0.5
180
OS
-6
-0.5
25
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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