New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
7/4/2024 5:16:00 PM
Cost:
70
Service:
Frame + Lenses
prescribed by doctor:
Aya
Notes:
Oliver Peoples + LENSES (POLYCARBONATE)
SPH
CYL
AX
ADD
OD
1.5
OS
2
-1
120
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