New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/4/2026 11:31:00 AM
Cost:
25
Service:
Change Lenses
prescribed by doctor:
Nancy
Notes:
AR Lenses
SPH
CYL
AX
ADD
OD
0
-0.25
20
OS
0
-0.25
180
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