New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
5/28/2024 2:43:00 PM
Cost:
100
Service:
Frame + Lenses
prescribed by doctor:
Luna
Notes:
AR + Transition W9
SPH
CYL
AX
ADD
OD
0
-1.25
70
OS
0.5
-0.75
70
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