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Customer Rx Information Confidential

Customer Details
Home Store
Name: Birmingham - New Street Number: 0176 Phone: +44 0121 616
2220

Customer
Name: Mohammed Hafiz Id: 327033 Phone: 07968 947433
Address: 3 Avondale Road ,
BIRMINGHAM Post Code: B11 3JT DoB: 19/11/1991

NHS
NHS or Private: Private Reason: -

Fit Date 01/11/2022

Item: 1 Fit Date: 01/11/2022 Status: Active Recall Date: 01/01/2025 - ➖

Fit

Aftercare Recall Aftercare Recall Date: Specification Expiry Date:


Period: 23 01/10/2024 01/01/2025

Trial Period (days): 0 Trial Period Start Date: Trial Period End Date:

CL/Optom Name:

Contact Lens Final Specification

Class Type Style Supplier

R Ultimate Sphere serima sph daily Specsavers

L Ultimate Sphere serima sph daily Specsavers

Solutions: No Solutions

Lens Measurements

BOZR Dia Sph Cyl/Axis Add/Type CT/ET Tint

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BOZR Dia Sph Cyl/Axis Add/Type CT/ET Tint

R 8.70 14.10 -0.75 +0.00 +0.00 - -

- - - -

L 8.70 14.10 -0.50 +0.00 +0.00 - -

- - - -

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