New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
9/10/2024 4:42:00 PM
Cost:
90
Service:
Frame + Lenses
prescribed by doctor:
Aya
Notes:
Semi-Rimless Cat Eye + AR Transition
SPH
CYL
AX
ADD
OD
-1.25
-0.75
95
OS
-1.75
-0.5
90
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