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  • Government Hospital

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    Aravind Ganeshan
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    This document appears to be an eye examination form for a government hospital in Thiruvalla. It requests the patient's name and date of examination and includes fields to record the patient's spherical power, cylindrical power, and axis measurements for both distance and reading prescriptions. The form is to be signed by an ophthalmic surgeon.

    Original Description:

    GOvernement Hospital

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    This document appears to be an eye examination form for a government hospital in Thiruvalla. It requests the patient's name and date of examination and includes fields to record the patient's spherical power, cylindrical power, and axis measurements for both distance and reading prescriptions. The form is to be signed by an ophthalmic surgeon.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    12 views1 page

    Government Hospital

    Uploaded by

    Aravind Ganeshan
    This document appears to be an eye examination form for a government hospital in Thiruvalla. It requests the patient's name and date of examination and includes fields to record the patient's spherical power, cylindrical power, and axis measurements for both distance and reading prescriptions. The form is to be signed by an ophthalmic surgeon.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    GOVERNMENT HOSPITAL, THIRUVALLA

    (H D C)

    Name: ............................................................................................................................................................
    ..............................................................................................................................................................
    SPH

    CYL

    AXIS

    SPH

    CYL

    Distance

    Reading
    Reading:Date:.........................

    Ophatalmic Surgeon

    AXIS

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