Cx Laser+ Eye Hospital Vision Tower, Drishti Path, Behind Toyota Showroom, Tonk Road, Gandhi Nagar, Jaipur www.newperfectvision.com e-mail : drvipsc2010@gmail.com Perfect Vision Dr. Virendra Laser, Phaco Surgery Centre - Eye Hospital ¥ | Dr. Virendra Agrawal Consultant Eye Surgeons Dr. Anita Agrawal ms MD (Gal Meda AMS), ON, MNAMS Dr. PK Mathur us Dr. Amit Mishra ws FAICO-Refractive Surgery Ex Sr Prof & Head - SMS Hosp, Jaipur Dr. Neha Pathak Ms, FAEH - Comea Ex Eye Sugeon-R Cente, AIMS, Dei {WHO Felow- Ws Eye Hosp, USA Exhsst Prof SMS Hosp, Japur Bascom Paer Eye Insite, Mia, USA 22, R Ort S 4 oak 5 unin AR EOGO. Ath... Magy eu Sway Vision -REG/Y Le 6/9 IM sc (Re) Asthma: IOP. RE 7, ERS MEP Y LE 4g Diug Allergy mya Fundus- Cd10 Admit on. Cataract Extr. + 1OL by Laser /MICS/ Phaco Occumox(Moxifloxacin 0.5%) (1) Eye Drop 0.00000 (1 drop 6 times / day) 0.00 (3 time / 10 day) OS oe LIS Y 1 Fe, Vive Propmosrs Gwot ded. 2 oe FoR A We, SI TT + WSU GI WHATS — anger Rewer - wmf aor (ReLEx - Smile Laser) + WOU A Wer — ator are awe eer ye senha aoePage 1 of 1 Rajasthan Government Health Scheme Hospital Nome: Dr Virendra Laser, Phaco Surgery Centre Eye Hospital, Jaipur RGHS Card No.: 31/20211131247039 Patient Name: Mayo Devi OPD Transaction ID :202203271036587 Date: 27-Mar-22 Age/Gender: 58/Female Category:Family Pensioners (RCS (Pension) Rules, 1996) OFD Department:Ophthaimology ‘Treating Doctor Name:dr virendra agarwal Speciality of Doctor: DNB Patient ID 185040 Visit Date 27/Mari2022 Patient Name Mrs. Maya Devi AgelSex 1F Re = 1. Wyosoft! Lubrimoist / PediLightOptimoist Eye Drop [Poltethylene glycol 0.4% & propylene glycol 0.3%] four times in a day in Both Eyes for 2 Months 2. Alcatop Eye Drop [ Alcaftadine ophthalmic solution 0.25wiv ] ‘one time in a day in Both Eyes for 2 Months Doctor's Advice : Specular microscopy Endothelial cel Count, A - Scan, OCT, Fundus photo ,g . -CA>An, Packs Arde NEXT REVIEW : AS AND WHEN REQUIRED Dr Virendra Agrawal @ httpy//192.168.1.200:7878/Prescription.aspx?PrescriptionMedicinePattern=18illCompanyName=.... 27-03-2022 rePationt Devi, Maya Date of ith 27-03-1951 Gender Female Patient 1D 185040 evo ase Paco Sugary Conte ‘Tonk Road Near Nehu Udhyan Physician Surgeon Operator Administrator Gandhinagar Jaipur MeShimahu Choudhary Meb.0314017160 Date of calibration test 27-03-2022 by: Administrator Resut OK Date ofmessurement. 27-03-2022 nm 13375 ov. 12,00 mm : Oo D IOL calculation os Tight tot o cy Bye satus is: Phakic VS" Vitreous body ts: Phakic VS Vitreous body Rot: — VA — Ref; — vA — \vo: Untreated Wve mode: ~ Le: Untreated Lve mode: - Targetret: +0.00 D SIA: +0.00D @0" __| Targetret: +0.00D sw +0.000@0" Blomate values ‘AL 24.59 mam 30 pm AL 24.46 mm 30 2pm aco: 2.69 mm so) 64m aco: 2.70 mm 80: Sum Ur: 4.63 mm so. 19pm Ur 4.62 mm 80: 264m lwrw: 12.0 mm rw: 12.4 mm SE 41.600 _ 80:0.01D K1:41.39D @ 64°] Se41.64D —_S0:0.00D ki: 41.59D aK 40.420 @154° v2: 41.82D @164°| ak 40.11D @ 22° ko: 41.69 TSE 41.94D (1) $0:0.01D K1:41.77D @ 67°| TSE.41.88D $0: 0.04D TK: 41.77D aT: 40.35D__@157" 1K2:4212D _@157°| ark +0.23D _@ 33° TK2: 42.00 D IK Biotech Vision Eyecn/ Plus AK] Biotech Vision Eyecryi Plus AR] Biotech Vision Eyecryl Plus A JR] Biotech Vision Eyecry! Plus A SHFY600 SHFYEOO ‘SHFY60 SHFYECO : = Barrett Universal I~ Holladay 2- Barrett Universal! - ~Hollagay 2- 3 Ursots7 DF Det aco" +5364 Uesrt67 OF Delaut 0D: +5308 : TOL(O) Ref (0) OL) Ref ©) 100) Ref (0) 10L@) Ret) g +20.50 “0.74 ++20.50 -0.68 ++21.00 -0.84 +#21.00 .78 : 420.00 -0.36 420.00 0.33, +2050 -0.47 +2050 -0.42 3 419.50 #1950 +0.02 +2000 -0.10 +2000 -0.07 = 419.00 #1900 40.37 +19.50 40.27 419.50 +0.28, 18.5040. 418.50 40.71 #1900 __+0.63 +19,00__+0.62_ : 419.51 Enmetropia === Emmetropia 419.87 Enmetropia | ____—_Emmetopie = jotech Vision Eyecn/ Plus A|[R] Biotech Vision Eyeon/ Plus A|R] Biotech Vision Eyecty Plus A [R] Blolech Vision Eyeary Plus A SHFY00 SHFYEOO SHFY600 SHFYE00 = = SRKIT- -Hotfer® a = SRKOIT- -Hotfer® a- : cana 11830 ACD: +543 evost 11860 PACD: +543 < 1OL(0) Ref ©) ol) Ret ©) 1oL@) Ret (0) OL ©) Rot(O) 7 42050 -0.70 421.00 0.74 421.00 © -0.80 42150 © -0.80 & 420.00 0.34 42050 -0.37 42050 -0.44 42100 -0.45, 8 +1950 +0.01 420.00 -0.02 420.00 -0.08 42050 0-011 3 419.00 +0.36 +1950 +031 #1950 +0.27 +2000 © +0.23, 5 | +1850 _+0.71 +1900." _+0.65 +19.00__+0.62__ | __—-+19.50__+0.57 [1951 Emmetropia 19.96 Emmeroria +19.89” Emmetropia 20.34 Enmetropia = ()Borerine vaue Ty valve was edited manually = No value measured = [Comment | Signature ia Ee louMaster 700 ‘Version 1.001208 Report cated 27-09-2022 13:18; esate by Administrator Page oft