New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/22/2024 1:44:00 PM
Cost:
35
Service:
change lenses tinted idol
prescribed by doctor:
aya
Notes:
SPH
CYL
AX
ADD
OD
1
170
2.25
OS
0.5
0.75
10
2.25
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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