New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
4/27/2024 6:02:00 PM
Cost:
30
Service:
Frame + Lenses
prescribed by doctor:
Old Rx
Notes:
AR Lenses
SPH
CYL
AX
ADD
OD
-2.5
OS
-2
-1
20
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