New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
5/13/2025 7:37:00 PM
Cost:
100
Service:
Frame + Lenses
prescribed by doctor:
Luna
Notes:
Post PRK 12 years ago , only for NEAR (He has +1.25 IN OD FOR DISTANCE) Airlite transparent
SPH
CYL
AX
ADD
OD
2.5
OS
1.25
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