New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
12/10/2024 11:54:00 AM
Cost:
70
Service:
2 pairs of new Lenses
prescribed by doctor:
Nancy
Notes:
AR 1.61 for Both
SPH
CYL
AX
ADD
OD
0.75
-1
180
OS
0.75
-3
28
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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