New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
12/29/2025 1:29:00 PM
Cost:
80
Service:
Frame + Lenses
prescribed by doctor:
Luna
Notes:
Metal + Anti-Blue
SPH
CYL
AX
ADD
OD
-0.25
80
OS
-0.25
-0.25
97
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