New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/26/2024 11:54:00 AM
Cost:
30
Service:
Rayban
prescribed by doctor:
RX
Notes:
anti-blue green coated
SPH
CYL
AX
ADD
OD
-1
1.5
74
OS
-1
1
94
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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