New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
3/23/2024 11:25:00 AM
Cost:
100
Service:
Frame+Lenses
prescribed by doctor:
Aya
Notes:
Women Metal+Transition AR
SPH
CYL
AX
ADD
OD
-1.75
85
OS
-1.5
90
New visit Information
Date of visit:
Cost in this visit:
type of service:
prescribed by doctor
Note:
SPH
CYL
AX
ADD
OD
OS
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