New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
3/28/2024 10:13:00 AM
Cost:
50
Service:
Change Lenses
prescribed by doctor:
Aya
Notes:
He took before Emporio Armani Transition AR for 165$
SPH
CYL
AX
ADD
OD
-1
-0.5
125
OS
-0.75
-0.5
30
Date of visit:
7/9/2024 5:20:00 PM
Cost:
50
Service:
Frame+Lenses
prescribed by doctor:
Old RX
Notes:
Lost his glasses , took the same one emporio which he paid for the 1st time 160$
SPH
CYL
AX
ADD
OD
-1
-0.5
125
OS
-0.75
-0.5
30
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