New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
1/26/2024 12:05:00 PM
Cost:
15
Service:
old frame
prescribed by doctor:
RX
Notes:
SPH
CYL
AX
ADD
OD
0.25
-1
150
OS
1
-1.75
17
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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