New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
2/16/2024 3:32:00 PM
Cost:
45
Service:
Frame + AR Modern Lenses 1.6
prescribed by doctor:
Aya
Notes:
Dior Frame
SPH
CYL
AX
ADD
OD
-2.25
OS
-2.5
-0.25
30
New visit Information
Date of visit:
Cost in this visit:
type of service:
prescribed by doctor
Note:
SPH
CYL
AX
ADD
OD
OS
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