New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
12/27/2025 5:41:00 PM
Cost:
90
Service:
Frame + Lenses
prescribed by doctor:
Luna
Notes:
AlexGrant Frame + AntiBlue 1.61
SPH
CYL
AX
ADD
OD
-2.75
-0.5
165
OS
-2.75
-0.5
6
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