New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
12/16/2024 3:21:00 PM
Cost:
25
Service:
Change lenses
prescribed by doctor:
Nancy
Notes:
Anti blue
SPH
CYL
AX
ADD
OD
-1.25
-1.5
180
OS
-1.5
-1
180
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