Referred By

Consultant

Optometrist

To Dilate

Presenting Complaints

Past Ocular History	{{$opto_data['items']['PastHistory']}}

Medical History

DM	HT	C.A.D	Prostate	C.O.P.D	Others

Allergy History	Medical History
{{$opto_data['items']['AllergyHistory']}}	{{$opto_data['items']['MedicalHistory']}}

Visual Actuity

	Dist.	Near.	Pin Hole
RE
LE

Previous Glasses

	SPH	CYL	AXIS	ADD	VA
RE
LE

Refraction

	SPH	CYL	AXIS	ADD	V.A	N.V
RE
LE

Corrected Refraction

	SPH	CYL	AXIS	ADD	V.A	N.V
RE
LE
PRINT

Color Vision

@if($opto_data['items']['IopReTime'] !='') @php $IopReTime = $opto_data['items']['IopReTime'];@endphp @else @php $IopReTime = "mm of hg @ ".date('h:i:s a');@endphp @endif @if($opto_data['items']['IopLeTime'] !='') @php $IopLeTime = $opto_data['items']['IopLeTime'];@endphp @else @php $IopLeTime = "mm of hg @ ".date('h:i:s a');@endphp @endif

	NCT AT
IOP RE
IOP LE
PACHY

Keratometry

	K1	AXIS	K2	AXIS	Difference
RE
LE

Instruction To Dispensing Optician @if($opto_data['items']['Remarks']!='') @php $Remark = $opto_data['items']['Remarks'];@endphp @else @php $Remark = "- Mount lenses as per IPD.";@endphp @endif

{{$Remark}}				PRINT