Sales manager,sales,heavy Equipment operator.

Notes to Ophthalmic Dispenser:

[*.] Spectacle prescriptions may require changes in the lens type or power to maximize patient acceptance. Please do not fill this prescription unless it is agreed that doctor's changes will be made at no charge to the patient.

[2.] This is a spectacle Rx only.

[3.] Valid for 12 months from date of examination. Sphere

+3.00

+2.75

Prescription:

Prescription Notes:

Signed:

FYidoctors-Fort McMurray- Real Martin Dr, 2 - 100 Real Martin Drive, Fort McMurray, AB, T9K 2S1

Printed On 12/11/2024 @ 9:24 AM

OS

OD

Rx

Dr Tannu Prabhakar

Tel: 780-***-****

OS

OD

+2.25

+2.25

Cylinder Add

-0.50

-1.00

Axis

90

65

Date of Examination:

Patient:

Optometrist:

53 400 Silin Forest Rd

Fort McMurray

AB

T9H 3S5

Dr Tannu Prabhakar

08/11/2024

Robin Bohl

Distance

Vertical Horizontal

Near

Vertical Horizontal

Prism

Address:

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