New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/10/2024 3:00:00 PM
Cost:
25
Service:
Change Lenses
prescribed by doctor:
OLD degrees
Notes:
AR Lenses
SPH
CYL
AX
ADD
OD
-2.5
90
OS
-2.5
85
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