New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/16/2024 5:48:00 PM
Cost:
40
Service:
Frame + Lenses
prescribed by doctor:
Notes:
Gucci Frame + Lenses
SPH
CYL
AX
ADD
OD
-1
OS
-1.25
-0.25
20
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