New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/9/2024 3:11:00 PM
Cost:
59
Service:
Change Lenses
prescribed by doctor:
Notes:
Transition AR
SPH
CYL
AX
ADD
OD
-0.25
OS
-0.25
-0.5
80
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