New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
6/29/2024 3:19:00 PM
Cost:
70
Service:
Frame + Lenses
prescribed by doctor:
Unknown
Notes:
Transition AR W9
SPH
CYL
AX
ADD
OD
-2.75
-3
175
OS
-1
-1.25
145
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