New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
4/15/2024 12:55:00 PM
Cost:
0
Service:
Frame + Lenses
prescribed by doctor:
Italian Doctor
Notes:
One for Near + One Progressive
SPH
CYL
AX
ADD
OD
0.5
0.75
10
2.25
OS
0.75
0.5
155
2.25
Date of visit:
4/16/2024 4:40:00 PM
Cost:
0
Service:
Frame + Lenses
prescribed by doctor:
Aya
Notes:
We adjusted the SPH , didn't follow the Italian Doctor's prescription
SPH
CYL
AX
ADD
OD
1
2.25
OS
1
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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