New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
12/28/2024 1:22:00 PM
Cost:
Service:
prescribed by doctor:
luna
Notes:
SPH
CYL
AX
ADD
OD
1.25
OS
2.5
-0.25
5
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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