New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
6/2/2025 1:44:00 PM
Cost:
16
Service:
Contact Lenses +solution
prescribed by doctor:
Notes:
clear 55+versache solution
SPH
CYL
AX
ADD
OD
-7
OS
-7
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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