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Name : MS. SERU PAPAYAMMA ,
MRN : 2825422012171382785 ,
Gender : Female ,
Age : 35 Years
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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 icon/ icon/ N/A N/A DELIVERED CHC, Palasa 2020-12-17 14:06:57
3 Jun 21 2022 13:52 icon/ icon/ N/A N/A DELIVERED CHC, Palasa 2022-06-21 16:49:28
Spectacle Orders
Sno Order Date Order ID Spectacle Code Lens Type Order Status
1 17/12/2020 12:20:19 PM ORD-1171645 F4-48-C2 SINGLE VISION DELIVERED
2 21/06/2022 01:54:43 PM ORD-1720039 F5-46-C4 Bi-focal 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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