New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
10/21/2025 11:38:00 AM
Cost:
25
Service:
Frame + Lenses
prescribed by doctor:
Nancy
Notes:
AR LENSES
SPH
CYL
AX
ADD
OD
1.25
-1
5
OS
1.25
-0.5
150
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