New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
3/7/2024 11:35:00 AM
Cost:
50
Service:
Frame + Lenses
prescribed by doctor:
Aya
Notes:
Ailite+Ar Lenses (Reading only)
SPH
CYL
AX
ADD
OD
1.75
2
OS
1.75
2
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