New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
5/31/2024 4:14:00 PM
Cost:
35
Service:
Change Lenses AR + Transition
prescribed by doctor:
Aya
Notes:
AR + Transition
SPH
CYL
AX
ADD
OD
0
-1
30
OS
-0.75
-1
170
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