New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
4/24/2024 10:51:00 AM
Cost:
80
Service:
Frame+Lenses
prescribed by doctor:
Aya
Notes:
Airlite + AR Lenses(55$) Olive Frame AR Lenses(35$)
SPH
CYL
AX
ADD
OD
2.5
OS
2.5
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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