New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
3/4/2025 3:47:00 PM
Cost:
10
Service:
change lenses
prescribed by doctor:
old rx
Notes:
pro
SPH
CYL
AX
ADD
OD
1.75
-0.75
100
OS
1
-0.5
80
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