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L
R
Binoc
O.C.D:
Out
In
Inset:
Above
Below
Height: (HCL)
Abs
LTF
Tint/Coat:
Lens material:
Lens:
Add
Add
L
Sphere
Cyl
Axis
Prism
Out
In
Up
Down
Down
Up
In
Out
Prism
Axis
Cyl
Sphere
R
Email:
Practice Name:
Account Number:
Frame:
Colour:
Eye/DBL/Side
Notes:
Reference: