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| # | Barcode | Type | Code | Description | Qty | Price | GST % | GST Amt | Disc% | Disc Rs | Total | Del |
|---|
| RIGHT EYE (OD) | LEFT EYE (OS) | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Vision | SPH | CYL | AXIS | PD | VA | Vision | SPH | CYL | AXIS | PD | VA |
| Distance | Distance | ||||||||||
| Near | Near | ||||||||||
| ADD: | ADD: | ||||||||||