New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/26/2026 4:36:00 PM
Cost:
120
Service:
Frame + Lenses
prescribed by doctor:
luna
Notes:
Antiblue clean
SPH
CYL
AX
ADD
OD
0
-0.25
175
OS
0
-0.25
1
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