New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
5/29/2025 2:36:00 PM
Cost:
30
Service:
Frame + Lenses
prescribed by doctor:
luna
Notes:
Acetate , AR
SPH
CYL
AX
ADD
OD
5
-0.75
57
OS
4.75
-0.5
120
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