New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/14/2026 2:38:00 PM
Cost:
70
Service:
Frame + Lenses
prescribed by doctor:
Old RX
Notes:
AR 60MM
SPH
CYL
AX
ADD
OD
5.5
-1.5
160
OS
6.5
-1
12
New visit Information
Date of visit:
Cost in this visit:
type of service:
prescribed by doctor
Note:
SPH
CYL
AX
ADD
OD
OS
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