New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
9/8/2025 3:54:00 PM
Cost:
60
Service:
Change Lenses
prescribed by doctor:
Optim Eyes
Notes:
BIFOCALS PRO IDOL
SPH
CYL
AX
ADD
OD
-1.25
35
2
OS
0.25
-1.75
90
2
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