New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
3/19/2025 1:57:00 PM
Cost:
100
Service:
2Frame + Lenses
prescribed by doctor:
luna
Notes:
blue frame for far (AR Transition)+ plastic frame (near)(AR)
SPH
CYL
AX
ADD
OD
-0.5
1.5
OS
-0.75
1.5
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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