Refraction Patient #*Last NameDate DD slash MM slash YYYY OBJECTIVE RX -RESphereCYLAxisVA 6 /34.567.59121518212430364860CF@3mCF@2mCF@1mHM@3mHM@2mHM@1mLPOBJECTIVE RX - LESphereCYLAxisVA 6 /34.567.59121518212430364860CF@3mCF@2mCF@1mHM@3mHM@2mHM@1mLPAdd +SUBJECTIVE RX - RESphereCYLAxisVA 6 /34.567.59121518212430364860CF@3mCF@2mCF@1mHM@3mHM@2mHM@1mLPSUBJECTIVE RX - LESphereCYLAxisVA 6 /34.567.59121518212430364860CF@3mCF@2mCF@1mHM@3mHM@2mHM@1mLPAdd +EDGED RX - RESphereCYLAxisVA 6 /34.567.59121518212430364860CF@3mCF@2mCF@1mHM@3mHM@2mHM@1mLPEDGED RX - LESphereCYLAxisAV 6 /34.567.59121518212430364860CF@3mCF@2mCF@1mHM@3mHM@2mHM@1mLPAdd +SVDFrame #PD/SVNFrame #PD/Other Picked up Prescription given for update elsewhere Date DD slash MM slash YYYY Other comments