New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
7/27/2025 2:54:00 PM
Cost:
140
Service:
Frame + Lenses
prescribed by doctor:
Nancy
Notes:
AR, Airlite frame
SPH
CYL
AX
ADD
OD
-6
-1.25
10
OS
-6
-1.75
170
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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