New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
4/8/2025 11:42:00 AM
Cost:
70
Service:
Contact Lenses Polyview
prescribed by doctor:
Notes:
2pais toric poly view
SPH
CYL
AX
ADD
OD
-4.75
1.75
90
OS
-5
2.25
90
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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