New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/7/2026 12:29:00 PM
Cost:
25
Service:
Frame + Lenses
prescribed by doctor:
old rx
Notes:
AR Lenses
SPH
CYL
AX
ADD
OD
2
-0.5
85
OS
2
-1
90
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