New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
10/24/2025 1:58:00 PM
Cost:
150
Service:
Frame + Lenses
prescribed by doctor:
Nancy
Notes:
AR Lenses 60mm
SPH
CYL
AX
ADD
OD
12
OS
10.5
4
105
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