New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
6/24/2025 2:16:00 PM
Cost:
30
Service:
Frame + Lenses
prescribed by doctor:
Nancy
Notes:
Dior Frame + AR
SPH
CYL
AX
ADD
OD
-0.5
-0.25
90
OS
-0.5
-0.25
90
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