New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
4/19/2024 2:54:00 PM
Cost:
150
Service:
Frame + Lenses
prescribed by doctor:
Dr. Sabrina Rammal
Notes:
Oliver Peoples Frame + Transition + AR W9
SPH
CYL
AX
ADD
OD
0.75
OS
0.75
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