New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
3/12/2025 11:38:00 AM
Cost:
20
Service:
change lenses
prescribed by doctor:
nancy
Notes:
AR
SPH
CYL
AX
ADD
OD
3.25
OS
3.5
Date of visit:
3/1/2025 2:01:00 PM
Cost:
40
Service:
Frame+Lenses
prescribed by doctor:
nancy
Notes:
AR
SPH
CYL
AX
ADD
OD
1.25
OS
1.25
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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