New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
3/21/2024 9:04:00 AM
Cost:
50
Service:
Frame + Lenses
prescribed by doctor:
Aya
Notes:
Transition AR
SPH
CYL
AX
ADD
OD
2
-2
5
OS
0
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