New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
10/4/2025 11:54:00 AM
Cost:
20
Service:
Change Lenses
prescribed by doctor:
old rx
Notes:
AR
SPH
CYL
AX
ADD
OD
0.5
-3
95
OS
0.5
-3
85
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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