New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/19/2024 10:28:00 AM
Cost:
20
Service:
change lenses 1.6
prescribed by doctor:
Notes:
SPH
CYL
AX
ADD
OD
-3.5
0.75
80
OS
-2.75
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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