| Label | Referral Details |
|---|---|
| Full Name | test |
| testing@gmail.com | |
| Phone | |
| Address line 1 | #443.bvcbcbcv |
| Postcode | 140302 |
| Gender | Male |
| Date of birth | 07/16/2024 |
| Condition details | Age-related Macular Degeneration - $0.00 |
| File | Age-related Macular Degeneration - $0.00 |
| Eye Emergency | |
| Left Eye | UCDVA: , UCNVA: , SPH: , CYL: , AXIS: , BCDVA: , ADD: , BCNVA: , BCNVA: |
| Right Eye | UCDVA: right eye test, UCNVA: , SPH: , CYL: , AXIS: , BCDVA: , ADD: , BCNVA: , BCNVA: |
| Right Eye Comments | |
| Left Eye Comments | |
| Uploaded document | Attachment not found. |
| Details |
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