New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/14/2024 5:32:00 PM
Cost:
30
Service:
Frame + Lenses
prescribed by doctor:
Aya
Notes:
Blue Bay For Reading
SPH
CYL
AX
ADD
OD
0.75
1
OS
2.5
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