1860 500 7140Home
Name : MS. SERU PAPAYAMMA ,
MRN : 2825422012171382785 ,
Gender : Female ,
Age : 35 Years
Profile
Visits & Reports
Spectacles
Visit Info
Patient Profile
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Contact Details
Visit History
Dec 17 2020 12:12
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Jun 21 2022 13:52
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Refraction Details (For Latest Visit)
| Readings | Right Eye | Left Eye |
|---|---|---|
| Sphere | 0.00 | 0.00 |
| Cylinder | 0.00 | 0.00 |
| Axis | 0 | 0 |
| IPD | 60 | |
| Head Size | ||
Spectacle Orders
Dec 17 ,2020 12:20:19 PM
DELIVERED
Jun 21 ,2022 01:54:43 PM
DELIVERED
Visits & Reports
| Sno | Created Time | Fundus | Refraction | Referral | Lab Referral | Spectacle | CHC Center | Report Generated Time |
|---|---|---|---|---|---|---|---|---|
| 1 | Dec 17 2020 12:12 |
|
|
N/A | N/A | DELIVERED | CHC, Palasa | 2020-12-17 14:06:57 |
| 3 | Jun 21 2022 13:52 |
|
|
N/A | N/A | DELIVERED | CHC, Palasa | 2022-06-21 16:49:28 |
Spectacle Orders
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MEDICAL INFOSymptoms
| Symptoms | Right Eye | Left Eye |
|---|---|---|
| Defective Vision | Yes (Distance Vision) | Yes (Distance Vision) |
| 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 |
| 6/6 | 6/6 |
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 | NONE |
| Mother | NONE |
| Siblings | NONE |
Physical Details
| Height In(cm) | Weight In(kg) |
|---|
REFRACTION 
Objective Refraction (Autorefractor)
| Readings | Right Eye | Left Eye |
|---|---|---|
| Sphere | 0.00 | +0.25 |
| Cylinder | +0.50 | +0.75 |
| Axis | 151 | 96 |
| IPD (In mm) | 65 | |
Subjective Refraction (Subjective Acceptance)
| Readings | Right Eye | Left Eye |
|---|---|---|
| Sphere | 0.00 | 0.00 |
| Cylinder | 0.00 | 0.00 |
| Axis | 0 | 0 |
| NV ONLY (Dont enter added value) | +1.00 | +1.00 |
| IPD (In mm) | 60 | |
| Head Size (In mm) |
Visual Acuity - After Refraction
| Visual Acuity - After Refraction * | |
|---|---|
| Right Eye | Left Eye |
| 6/6 | 6/6 |
FUNDUS IMAGING
REFER
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