New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
7/8/2024 5:24:00 PM
Cost:
140
Service:
Frame + Lenses
prescribed by doctor:
Aya
Notes:
Airlite + Prog Lenses AR MODERN + Transition FREEFORM
SPH
CYL
AX
ADD
OD
1.5
2.25
OS
1.5
2.25
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