New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
9/7/2024 2:26:00 PM
Cost:
0
Service:
Frame + Lenses
prescribed by doctor:
Dr. Jamal Bleik
Notes:
Airlite + AR Lenses
SPH
CYL
AX
ADD
OD
0.5
0.25
20
OS
0.75
1
120
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