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  • DFGT

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    anishsvzm
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    This document records an eye exam for both the right and left eyes, noting the Snellen measurements for distant and near vision, whether the field of vision is full or not, and whether the patient has color blindness. However, the specific measurements and findings are not included, as the document contains only placeholders for the actual results.

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    certific

    Original Title

    dfgt

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    This document records an eye exam for both the right and left eyes, noting the Snellen measurements for distant and near vision, whether the field of vision is full or not, and whether the patient has color blindness. However, the specific measurements and findings are not included, as the document contains only placeholders for the actual results.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    16 views1 page

    DFGT

    Uploaded by

    anishsvzm
    This document records an eye exam for both the right and left eyes, noting the Snellen measurements for distant and near vision, whether the field of vision is full or not, and whether the patient has color blindness. However, the specific measurements and findings are not included, as the document contains only placeholders for the actual results.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    (Eye Sight without glasses)

    Right Eye

    Left Eye

    1. Distant Vision : ....Snellen

    ... Snellen

    2. Near Vision

    .. Snellen

    : ....Snellen

    3. Field of vision : .
    (Specify whether field of vision is full or not. Entries such as Normal, Good etc. are
    inappropriate here.)
    4. Colour blindness:- . (write Yes/No)
    Left Eye
    1. Distant Vision : ....Snellen

    ... Snellen

    2. Near Vision

    .. Snellen

    : ....Snellen

    3. Field of vision : .
    (Specify whether field of vision is full or not. Entries such as Normal, Good etc. are
    inappropriate here.)
    4. Colour blindness:- . (write Yes/No)
    .. Snellen
    3. Field of vision : .
    (Specify whether field of vision is full or not. Entries such as Normal, Good etc. are
    inappropriate here.)
    4. Colour blindness:- . (write Yes/No)

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