New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
12/12/2024 12:25:00 PM
Cost:
95
Service:
2 Frames + 2 Pair of lenses
prescribed by doctor:
Dr. George Cherfan
Notes:
AR Lenses for both 1 for Dist and 1 for Near
SPH
CYL
AX
ADD
OD
1.75
2
OS
2
2
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