New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
3/16/2024 1:34:00 PM
Cost:
110
Service:
Change Lenses
prescribed by doctor:
Old RX
Notes:
Transition AR + Polarized Idol
SPH
CYL
AX
ADD
OD
-1.75
OS
-1.5
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