New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
6/3/2025 12:36:00 PM
Cost:
160
Service:
Frame + Lenses
prescribed by doctor:
Luna
Notes:
2frames , AR+TRANSITION
SPH
CYL
AX
ADD
OD
7
-1.25
100
OS
8.5
-3.25
125
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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