New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
6/27/2024 3:59:00 PM
Cost:
30
Service:
Change lenses AR
prescribed by doctor:
Old Rx
Notes:
AR 60mm
SPH
CYL
AX
ADD
OD
2
3
95
OS
3
3.5
100
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