New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
7/11/2025 11:58:00 AM
Cost:
130
Service:
2Frame + Lenses
prescribed by doctor:
Nancy
Notes:
Transition AR for Far + AR for Near
SPH
CYL
AX
ADD
OD
0.5
-1
70
1
OS
0.25
-0.5
95
1
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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