New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/30/2025 2:35:00 PM
Cost:
260
Service:
Frame + Lenses
prescribed by doctor:
Nancy
Notes:
sunglasses (David Backham), and Raybun Sunglasses change lenses AR Transition W9
SPH
CYL
AX
ADD
OD
-0.5
OS
0
-0.5
72
Date of visit:
2/11/2025 4:50:00 PM
Cost:
40
Service:
2 celena colors (Cinnamon Brown)
prescribed by doctor:
Notes:
SPH
CYL
AX
ADD
OD
OS
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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