New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/7/2025 1:02:00 PM
Cost:
60
Service:
3 pairs of AR Lenses
prescribed by doctor:
Luna
Notes:
FOR NEAR 3 PAIRS
SPH
CYL
AX
ADD
OD
2
OS
2
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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