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Name : S.FAJULUNNISSA ,
MRN : 011112180509140700 ,
Gender : Female ,
Age : 53 Years
Patient Profile
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Contact Details
Visit History
May 09 2018 11:37
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May 13 2019 11:57
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Oct 18 2021 12:34
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Jun 26 2023 12:53
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Refraction Details (For Latest Visit)
Readings | Right Eye | Left Eye |
---|---|---|
Sphere | -1.00 | -0.50 |
Cylinder | 0.00 | 0.00 |
Axis | 0 | 00 |
IPD | 62 | |
Head Size |
Spectacle Orders
May 09 ,2018 11:38:49 AM
DELIVERED
May 13 ,2019 11:59:00 AM
DELIVERED
Oct 18 ,2021 12:37:36 PM
DELIVERED
Jun 26 ,2023 12:59:49 PM
DELIVERED
Visits & Reports
Sno | Created Time | Fundus | Refraction | Referral | Lab Referral | Spectacle | CHC Center | Report Generated Time |
---|---|---|---|---|---|---|---|---|
1 | May 09 2018 11:37 | N/A | N/A | N/A | DELIVERED | CHC, Punganur | NA | |
3 | May 13 2019 11:57 | N/A | N/A | N/A | DELIVERED | CHC, Punganur | NA | |
5 | Oct 18 2021 12:34 | N/A | N/A | N/A | DELIVERED | CHC, Punganur | NA | |
7 | Jun 26 2023 12:53 | N/A | N/A | N/A | DELIVERED | CHC, Punganur | NA |
Spectacle Orders
Sno | Order Date | Order ID | Spectacle Code | Lens Type | Order Status |
---|---|---|---|---|---|
1 | 09/05/2018 11:38:49 AM | ORD-120904 | FR-28-46-M97 | SINGLE VISION | DELIVERED |
2 | 13/05/2019 11:59:00 AM | ORD-773601 | f5-44-c15 | SINGLE VISION | DELIVERED |
3 | 18/10/2021 12:37:36 PM | ORD-1457142 | F2-46-C4 | SINGLE VISION | DELIVERED |
4 | 26/06/2023 12:59:49 PM | ORD-2297650 | F2-46-C3 | SINGLE VISION | DELIVERED |
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Symptoms
Symptoms | Right Eye | Left Eye |
---|---|---|
Defective Vision | Yes | Yes |
Trauma | No | No |
Sudden Loss Of Vision | No | No |
Pain | No | No |
Watering | No | No |
Discharge | No | No |
Headache | No |
Ocular History
Ocular Exam | Right Eye | Left Eye |
---|---|---|
Cataract Surgery | No | No |
Glaucoma Surgery | No | No |
Lasers or Any Retina Surgeries | No | No |
Any other Ocular Surgeries | ||
IOP | ||
Wearing Glasses Now | No |
Ocular Examintion
Symptoms | Right Eye | Left Eye |
---|---|---|
Cataract * | ABSENT | ABSENT |
Corneal Opacity * | ABSENT | ABSENT |
Any Trauma/Foreign Body * | ABSENT | ABSENT |
Visual Acuity - Before Refraction
Visual Acuity - Before Refraction | |
---|---|
Right Eye | Left Eye |
Clinical History
Systemic Illness | Condition and Duration | |
---|---|---|
Diabetes Mellitus * | ABSENT | |
Hypertension * | ABSENT | |
Heart Disease * | ABSENT | |
Cancer * | ABSENT |
General History
Head Injury | No |
Is single Eyed ? * | No |
Is Pregnant? * | No |
Family History
Relation | Disease |
Father | |
Mother | |
Siblings |
Physical Details
Height In(cm) | Weight In(kg) |
---|
Objective Refraction (Autorefractor)
Readings | Right Eye | Left Eye |
---|---|---|
Sphere | -0.25 | -1.00 |
Cylinder | -1.50 | -1.25 |
Axis | 59 | 34 |
IPD (In mm) | 59 |
Subjective Refraction (Subjective Acceptance)
Readings | Right Eye | Left Eye |
---|---|---|
Sphere | -1.00 | -1.00 |
Cylinder | 0.00 | 0.00 |
Axis | 0 | 0 |
NV ONLY (Dont enter added value) | 0.00 | 0.00 |
IPD (In mm) | 59 | |
Head Size (In mm) |
Visual Acuity - After Refraction
Visual Acuity - After Refraction * | |
---|---|
Right Eye | Left Eye |
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