New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/12/2026 2:43:00 PM
Cost:
130
Service:
Frame + Lenses
prescribed by doctor:
oldrx
Notes:
Transition AR W9
SPH
CYL
AX
ADD
OD
-0.5
OS
-3
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