New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
5/27/2025 11:58:00 AM
Cost:
30
Service:
Frame + Lenses
prescribed by doctor:
Luna
Notes:
Antiblue green coated
SPH
CYL
AX
ADD
OD
0
-1
130
OS
0.25
-1.25
35
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