New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
3/2/2024 6:11:00 PM
Cost:
20
Service:
Change Lenses
prescribed by doctor:
Aya
Notes:
AR Lenses
SPH
CYL
AX
ADD
OD
-1.5
OS
-1
-0.5
100
Date of visit:
7/4/2024 6:22:00 PM
Cost:
55
Service:
Frame+Lenses + Another pair of AR lenses
prescribed by doctor:
Aya
Notes:
Antiblue Green coated
SPH
CYL
AX
ADD
OD
-1.5
OS
-1.5
-0.5
100
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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