New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
6/19/2025 11:59:00 AM
Cost:
220
Service:
Frame + Lenses
prescribed by doctor:
Nancy
Notes:
pravious standard (polycarbonate )progressive AR enlargement 3mm
SPH
CYL
AX
ADD
OD
0.5
1.5
OS
0.75
1.5
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