New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/25/2025 3:59:00 PM
Cost:
10
Service:
Contact Lenses
prescribed by doctor:
Luna
Notes:
PolyView + Clear View
SPH
CYL
AX
ADD
OD
-2.75
OS
-2.25
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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