New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/19/2025 11:51:00 AM
Cost:
50
Service:
Frame + Lenses
prescribed by doctor:
Dr. Ali Zorkot
Notes:
AR Lenses for near
SPH
CYL
AX
ADD
OD
0.75
0.75
120
0.75
OS
3
90
0.75
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