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Name : S.FAJULUNNISSA ,
MRN : 011112180509140700 ,
Gender : Female ,
Age : 53 Years
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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 icon/ N/A N/A DELIVERED CHC, Punganur NA
3 May 13 2019 11:57 N/A icon/ N/A N/A DELIVERED CHC, Punganur NA
5 Oct 18 2021 12:34 N/A icon/ N/A N/A DELIVERED CHC, Punganur NA
7 Jun 26 2023 12:53 N/A icon/ 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
Trauma
Sudden Loss Of Vision
Pain
Watering
Discharge
Headache
Ocular History
Ocular Exam Right Eye Left Eye
Cataract Surgery
Glaucoma Surgery
Lasers or Any Retina Surgeries
Any other Ocular Surgeries
IOP
Wearing Glasses Now
Readings Right Eye Left Eye
Sphere
Cylinder
Axis
NV ONLY (Dont enter added value)
Lens Type
Ocular Examintion
Symptoms Right Eye Left Eye
Cataract *
Corneal Opacity *
Any Trauma/Foreign Body *
Visual Acuity - Before Refraction
Visual Acuity - Before Refraction *
Right Eye Left Eye
Clinical History
Systemic Illness Condition and Duration
Diabetes Mellitus *
Hypertension *
Heart Disease *
Cancer *
General History
Head Injury
Is single Eyed ? *
Is Pregnant? *
Family History
Relation Disease
Father
Mother
Siblings
Physical Details
Height In(cm) Weight In(kg)
Uncorrected
Readings Right Eye Left Eye
Sphere    
Cylinder    
Axis    
IPD (In mm) Auto Refraction values can not be modified.
Corrected
Readings Right Eye Left Eye
Sphere
Cylinder
Axis
NV ONLY (Dont enter added value)
IPD (In mm)
Head Size (In mm)
Visual Acuity - After Refraction
Visual Acuity - After Refraction *
Right Eye Left Eye
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