New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
4/15/2024 4:49:00 PM
Cost:
20
Service:
Change lenses AR
prescribed by doctor:
Old Rx
Notes:
Doesn't pay a lot
SPH
CYL
AX
ADD
OD
-2
-2.5
100
OS
-2
-1.5
67
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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