New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
12/17/2024 1:48:00 PM
Cost:
50
Service:
Frame + Lenses
prescribed by doctor:
OLD RX
Notes:
OD: BIFOCAL OS:PLANO
SPH
CYL
AX
ADD
OD
2
-2.25
85
OS
0
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