New Visit

patient

Patient Name:

Phone number:

PD of patient:

visits:

Date of visit:: 8/16/2025 3:22:00 PM
Cost:: 80
Service:: Frame + Lenses
prescribed by doctor:: Nancy
Notes:: real madrid , AR

	SPH	CYL	AX	ADD
OD	-4	-3.25	170
OS	-2.5	-1	160

New visit Information

Date of visit:

Cost in this visit:

type of service:

prescribed by doctor

Note:

	SPH	CYL	AX	ADD
OD
OS