New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
8/19/2025 10:43:00 AM
Cost:
25
Service:
Contact Lenses
prescribed by doctor:
Old RX
Notes:
elite green olive bella
SPH
CYL
AX
ADD
OD
-1
OS
-4.5
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