New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/30/2025 4:51:00 PM
Cost:
60
Service:
Change lenses
prescribed by doctor:
Nancy
Notes:
2 frames one for far and one for near
SPH
CYL
AX
ADD
OD
0.25
-1
73
2.75
OS
0.5
-1.5
90
2.75
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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