New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/3/2025 4:05:00 PM
Cost:
60
Service:
Frame + Lenses
prescribed by doctor:
Nancy
Notes:
Gucci Frame + AR Lenses
SPH
CYL
AX
ADD
OD
0
-0.25
170
OS
0.5
-0.5
6
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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