New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
7/25/2025 11:17:00 AM
Cost:
25
Service:
Contact Lenses
prescribed by doctor:
Notes:
toric contact lenses
SPH
CYL
AX
ADD
OD
0
-3.25
3
OS
0
-3.5
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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