New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/13/2024 5:03:00 PM
Cost:
130
Service:
Frame + Lenses
prescribed by doctor:
Dr. Alame
Notes:
Prada Metal + AR + Transition
SPH
CYL
AX
ADD
OD
1.25
-2.5
180
OS
0.25
2.5
85
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