New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
3/25/2024 8:47:00 AM
Cost:
75
Service:
Frame + Lenses
prescribed by doctor:
Aya
Notes:
We gave him +2.75 only for reading
SPH
CYL
AX
ADD
OD
0.75
-0.75
60
2.25
OS
0.75
-0.75
100
2.25
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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