1. Go to the specific visit record of the patient. Note that manually adding a charge only works for visits with Pending Payment or Pending Completion status.

2. Make sure that you are under Visits tab.

3. Select Payment.

4. Click +Add item. 

5. Indicate the charge description and corresponding additional amount.

6. Click SAVE if you only want to save the changes w/o charging the patient yet.

Click SUBMIT CHARGE to charge the customer. This will automatically set the visit status to Completed.