New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
5/5/2025 4:20:00 PM
Cost:
5
Service:
Eye Exam
prescribed by doctor:
Luna
Notes:
She was wearing-0.25 astigmatism and her new prescription is -0.25 SPH
SPH
CYL
AX
ADD
OD
-0.25
OS
0
Date of visit:
5/17/2025 12:56:00 PM
Cost:
30
Service:
Frame+Lenses
prescribed by doctor:
luna
Notes:
AR
SPH
CYL
AX
ADD
OD
-0.25
OS
0
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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