New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
6/3/2024 6:09:00 PM
Cost:
60
Service:
Change lenses Bifocal
prescribed by doctor:
IC Center
Notes:
Bifocal
SPH
CYL
AX
ADD
OD
0
-2.5
80
3
OS
0
-2.5
80
3
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