New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/3/2026 5:32:00 PM
Cost:
100
Service:
2 Frames + 2 Pairs of lenses
prescribed by doctor:
Dr. In Germany
Notes:
2 Airlite frames + AR compact lenses
SPH
CYL
AX
ADD
OD
6
-2.25
174
OS
6
-2.5
167
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