New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/5/2025 12:17:00 PM
Cost:
130
Service:
Frame + Lenses
prescribed by doctor:
Old RX
Notes:
blueberry, progressive AR Infinity+montage
SPH
CYL
AX
ADD
OD
0.25
1
165
2
OS
0.25
1
10
2
New visit Information
Date of visit:
Cost in this visit:
type of service:
prescribed by doctor
Note:
SPH
CYL
AX
ADD
OD
OS
Back to List