New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/13/2025 1:59:00 PM
Cost:
50
Service:
2 Frames + 2 Lenses one for dist + one for near
prescribed by doctor:
Nancy
Notes:
AR Lenses
SPH
CYL
AX
ADD
OD
0
1.75
OS
0
1.75
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