New Visit

patient

Patient Name:

Phone number:

PD of patient:

visits:

Date of visit:: 4/4/2024 5:47:00 PM
Cost:: 50
Service:: Frame+lenses Ar
prescribed by doctor:: Luna
Notes:: Add more cyl next visit if she bares it

	SPH	CYL	AX	ADD
OD	-0.5	-0.25	20
OS	-0.5	-0.25	160

New visit Information

Date of visit:

Cost in this visit:

type of service:

prescribed by doctor

Note:

	SPH	CYL	AX	ADD
OD
OS