New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
9/26/2025 2:58:00 PM
Cost:
40
Service:
Change Lenses
prescribed by doctor:
Nancy
Notes:
AR lenses
SPH
CYL
AX
ADD
OD
3.5
OS
3.5
Date of visit:
12/26/2025 3:01:00 PM
Cost:
60
Service:
Frame + Lenses
prescribed by doctor:
Nancy
Notes:
Paul&Joe Frame + AR lenses for Dist
SPH
CYL
AX
ADD
OD
1.25
OS
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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