New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
12/3/2024 11:07:00 AM
Cost:
85
Service:
Frame + Lenses
prescribed by doctor:
Nancy
Notes:
AR 1.61
SPH
CYL
AX
ADD
OD
-4.75
-1.75
110
OS
-2.5
Date of visit:
12/4/2024 11:26:00 AM
Cost:
30
Service:
Frame+Lenses
prescribed by doctor:
Nancy
Notes:
AR Lenses
SPH
CYL
AX
ADD
OD
-1.25
-1
170
OS
-1
-1.25
10
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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