New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
9/29/2025 2:54:00 PM
Cost:
35
Service:
Frame + Lenses
prescribed by doctor:
Nancy + OLD Rx
Notes:
Metal Frame + AntiBlue
SPH
CYL
AX
ADD
OD
-0.5
165
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