New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
6/13/2025 12:16:00 PM
Cost:
250
Service:
Frame + Lenses
prescribed by doctor:
save specs
Notes:
oliver people ,AR + transition PROGRESSIVE , INTERMEDIATE 0.75
SPH
CYL
AX
ADD
OD
0.5
-0.5
45
1.5
OS
0.75
-0.5
135
1.5
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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