New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
4/23/2026 1:53:00 PM
Cost:
20
Service:
Change Lenses
prescribed by doctor:
Notes:
AR Lenses
SPH
CYL
AX
ADD
OD
0.5
0.25
95
OS
0.25
0.75
130
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