New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
5/16/2024 5:09:00 PM
Cost:
35
Service:
Frame + Lenses
prescribed by doctor:
Luna
Notes:
AR Lenses for Near
SPH
CYL
AX
ADD
OD
1.25
OS
1.25
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