New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
6/25/2025 12:33:00 PM
Cost:
140
Service:
Frame + Lenses
prescribed by doctor:
Nancy
Notes:
Antiblue transition, metalic frame
SPH
CYL
AX
ADD
OD
-2.5
-0.75
106
OS
-2
-0.5
75
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