Patient Treatment

Consultant
Risk Factor:
VP Dist Near W/O Dist W/O Near PIN IOP
Right Eye:
Left Eye:
Contact Lens:
RE:
LE:
Pwr Sph Cyl Axis V/N Sph Cyl Axis V/N
Dist
Near
BC DIA : BC DIA
Medicine:
Medicine Status Next Visit
No. Medicine Instructions Durations Remarks Action
Patient Registration
Glass RX:
RE:
LE:
Pwr Sph Cyl Axis VA Sph Cyl Axis VA
Dist
Near
Add P.B. : P.B. :
Lens Type : Material :
Instruction : IPD :
Auto Refractometer:
Pwr Sph Cyl Axis Sph Cyl Axis
Systemic Illness:
Complaints:
Examination:
Diagnosis:
Advice:
Allergy: