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    Valkyrie Valkyrie
    6 views2 pages
    The document contains order forms for eyeglasses with fields for the customer's name, phone number, order number, prescription details for the right and left eye including sphere, cylinder, axis, add and MPD/PV/SH values. It also includes fields for frame type, lens type and pickup location being either a store, delivery service or other store. There are 4 repeated order forms shown.

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    The document contains order forms for eyeglasses with fields for the customer's name, phone number, order number, prescription details for the right and left eye including sphere, cylinder, axis, add and MPD/PV/SH values. It also includes fields for frame type, lens type and pickup location being either a store, delivery service or other store. There are 4 repeated order forms shown.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    6 views2 pages

    Untitled

    Uploaded by

    Valkyrie Valkyrie
    The document contains order forms for eyeglasses with fields for the customer's name, phone number, order number, prescription details for the right and left eye including sphere, cylinder, axis, add and MPD/PV/SH values. It also includes fields for frame type, lens type and pickup location being either a store, delivery service or other store. There are 4 repeated order forms shown.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    \

    Tgl. Order : Tgl. Order :


    Name : Name :
    No. HP : No. HP :
    NO. HASHTAG : NO. HASHTAG :
    Prescription Prescription
    Sph Cyl Axis ADD MPD PV/SH Sph Cyl Axis ADD MPD PV/SH
    R: R:
    L: L:
    Frame: Frame:
    Lensa: Lensa:
    Pengambilan : Store/ Sicepat/ Store Lain: Pengambilan : Store/ Sicepat/ Store Lain:
    Tgl. Order : Tgl. Order :
    Name : Name :
    No. HP : No. HP :
    NO. HASHTAG : NO. HASHTAG :
    Prescription Prescription
    Sph Cyl Axis ADD MPD PV/SH Sph Cyl Axis ADD MPD PV/SH
    R: R:
    L: L:
    Frame: Frame:
    Lensa: Lensa:
    Pengambilan : Store/ Sicepat/ Store Lain: Pengambilan : Store/ Sicepat/ Store Lain:
    Tgl. Order : Tgl. Order :
    Name : Name :
    No. HP : No. HP :
    NO. HASHTAG : NO. HASHTAG :
    Prescription Prescription
    Sph Cyl Axis ADD MPD PV/SH Sph Cyl Axis ADD MPD PV/SH
    R: R:
    L: L:
    Frame: Frame:
    Lensa: Lensa:
    Pengambilan : Store/ Sicepat/ Store Lain: Pengambilan : Store/ Sicepat/ Store Lain:
    Tgl. Order : Tgl. Order :
    Name : Name :
    No. HP : No. HP :
    NO. HASHTAG : NO. HASHTAG :
    Prescription Prescription
    Sph Cyl Axis ADD MPD PV/SH Sph Cyl Axis ADD MPD PV/SH
    R: R:
    L: L:
    Frame: Frame:
    Lensa: Lensa:
    Pengambilan : Store/ Sicepat/ Store Lain: Pengambilan : Store/ Sicepat/ Store Lain:

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