New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/17/2025 1:25:00 PM
Cost:
55
Service:
change frame
prescribed by doctor:
Notes:
same lenses(progressive lenses)
SPH
CYL
AX
ADD
OD
1
0.5
100
2
OS
0.5
0.5
80
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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