New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
12/19/2024 12:40:00 PM
Cost:
60
Service:
Frame + Lenses
prescribed by doctor:
Luna
Notes:
AR Transition
SPH
CYL
AX
ADD
OD
0.25
-0.25
90
OS
0.5
-0.5
72
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