| Label | Referral Details |
|---|---|
| Full Name | Mr Bobby T |
| testng@mail.co.uk | |
| Phone | +447864190111 |
| Address line 1 | Union House, 111 New Union House |
| Postcode | United Kingdom |
| Gender | Male |
| Date of birth | 12/01/1993 |
| Condition details | Diabetic eye condition |
| File | Diabetic eye condition |
| Eye Emergency | No |
| Left Eye | UCDVA: 1.2, UCNVA: -1, SPH: -0.01, CYL: 0, AXIS: 1, BCDVA: 2, ADD: 3, BCNVA: 4, BCNVA: 0.01 |
| Right Eye | UCDVA: 1, UCNVA: -1, SPH: -0.25, CYL: 0a, AXIS: 01, BCDVA: 1, ADD: 1, BCNVA: 1, BCNVA: 0.42 |
| Right Eye Comments | Right eye comments |
| Left Eye Comments | Left eye comments |
| Uploaded document | Attachment not found. |
| Details | additional comment box |
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