New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/1/2025 5:00:00 PM
Cost:
37
Service:
Change Lenses
prescribed by doctor:
LUNA
Notes:
AR lenses transition W9
SPH
CYL
AX
ADD
OD
-0.75
-0.5
75
OS
-1
-0.25
107
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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