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Back to Claud
New Prescription for Claud Fadel
Date
*
Type
*
Distance
Reading
Bifocal
Progressive
Contact Lens
Recall Date
Doctor Name
Eye
*
Both Eyes
Right (OD)
Left (OS)
Measurements
SPH
CYL
AXIS
PRISM (H)
PRISM (V)
ADD
Notes / Comments
Cancel
Save Prescription
