New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/8/2025 12:22:00 PM
Cost:
80
Service:
Frame + Lenses
prescribed by doctor:
Old RX
Notes:
AR, police frame
SPH
CYL
AX
ADD
OD
-1
-2.5
100
OS
-4
-1.5
173
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