New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
12/10/2024 5:19:00 PM
Cost:
Service:
prescribed by doctor:
Nancy
Notes:
SPH
CYL
AX
ADD
OD
-1.25
-0.5
80
OS
-1.75
-0.25
70
Date of visit:
12/11/2024 10:48:00 AM
Cost:
60
Service:
Frame+Lenses
prescribed by doctor:
Nancy
Notes:
AR Lenses
SPH
CYL
AX
ADD
OD
OS
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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