New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
8/11/2025 2:50:00 PM
Cost:
65
Service:
Frame + Lenses
prescribed by doctor:
Nancy
Notes:
AR
SPH
CYL
AX
ADD
OD
0.25
-0.5
78
OS
0.5
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