New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
12/31/2024 2:37:00 PM
Cost:
80
Service:
Frame + Lenses
prescribed by doctor:
OLD RX
Notes:
Progressive US Design AR Transtion (IDOL)
SPH
CYL
AX
ADD
OD
0
-1
65
2.5
OS
0.25
-0.5
75
2.5
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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