New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/26/2026 4:57:00 PM
Cost:
200
Service:
2Frame + 2Lenses
prescribed by doctor:
luna
Notes:
Transition AR for far +AR COMPACT FOR NEAR
SPH
CYL
AX
ADD
OD
3.25
1.5
OS
2.5
-0.5
145
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
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