1860 500 7140Home
Name : MANGA PRABATH ,
MRN : 011017190706982133 ,
Gender : Male ,
Age : 13 Years
Profile
Visits & Reports
Spectacles
Visit Info
Patient Profile
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Contact Details
Visit History
Jul 06 2019 11:39
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Oct 14 2021 10:55
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Refraction Details (For Latest Visit)
| Readings | Right Eye | Left Eye |
|---|---|---|
| Sphere | -2.50 | -2.50 |
| Cylinder | -1.00 | -0.50 |
| Axis | 110 | 170 |
| IPD | 52 | |
| Head Size | ||
Spectacle Orders
Jul 06 ,2019 11:40:06 AM
DELIVERED
Oct 14 ,2021 10:55:46 AM
DELIVERED
Visits & Reports
| Sno | Created Time | Fundus | Refraction | Referral | Lab Referral | Spectacle | CHC Center | Report Generated Time |
|---|---|---|---|---|---|---|---|---|
| 1 | Jul 06 2019 11:39 | N/A |
|
N/A | N/A | DELIVERED | CHC, Chodavaram | NA |
| 3 | Oct 14 2021 10:55 | N/A |
|
N/A | N/A | DELIVERED | CHC, Chodavaram | NA |
Spectacle Orders
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MEDICAL INFOSymptoms
| 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 |
Family History
| Relation | Disease |
| Father | |
| Mother | |
| Siblings |
Physical Details
| Height In(cm) | Weight In(kg) |
|---|
REFRACTION 
Objective Refraction (Autorefractor)
| Readings | Right Eye | Left Eye |
|---|---|---|
| Sphere | ||
| Cylinder | ||
| Axis | ||
| IPD (In mm) | ||
Subjective Refraction (Subjective Acceptance)
| Readings | Right Eye | Left Eye |
|---|---|---|
| Sphere | -1.50 | -1.00 |
| Cylinder | -1.00 | 0.00 |
| Axis | 90 | 0 |
| NV ONLY (Dont enter added value) | 0.00 | 0.00 |
| IPD (In mm) | 58 | |
| Head Size (In mm) |
Visual Acuity - After Refraction
| Visual Acuity - After Refraction * | |
|---|---|
| Right Eye | Left Eye |
FUNDUS IMAGINGUploaded Images
REFER
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