New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/8/2024 2:49:00 PM
Cost:
375
Service:
Frame + Lenses
prescribed by doctor:
Nada ( Renovation)
Notes:
Progressive AR Transition Easy Adapt + Montage idol Emporio Armani
SPH
CYL
AX
ADD
OD
3.25
0.75
170
OS
4
1
175
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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