New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/23/2026 5:02:00 PM
Cost:
70
Service:
Frame + Lenses
prescribed by doctor:
Nancy(old Rx)
Notes:
AR Compacted
SPH
CYL
AX
ADD
OD
3.5
-1.5
18
OS
2.75
-1.25
166
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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