New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
3/3/2025 11:05:00 AM
Cost:
150
Service:
Frame + Lenses
prescribed by doctor:
Nancy
Notes:
polycarbonate AR
SPH
CYL
AX
ADD
OD
-1.25
OS
-0.5
Date of visit:
3/3/2025 11:08:00 AM
Cost:
150
Service:
Frame+Lenses
prescribed by doctor:
Nancy
Notes:
AR transition W9 , metalic frame
SPH
CYL
AX
ADD
OD
-1.25
OS
-0.5
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