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SOLTURA E.N.

T & OPTICALCLINIC

,
9053 Nationat Highway ,DatongMatakeLo
Tel. No 04s
Emal Add. sotutaCel N saguna 4030
Tel No4G Snt CayBgy Baios son
Tel No 49 570 2269 /Cet No. 0916 363 2724
y
CERTIFICATION
Oateuly 26.t49
To Whon litMayConcern:

Hs is tocertifiythat MrAs
7years old,residingat
Donsultedin this Cinlc on ALAN A LAN
L
sCHUseof the foiowing complaints

Pertinent esuts ae as folows

UNCORRECTEDV A
CORRECTEDV, A.

Diagnesis:

MYOPA
HERMETROPIA ASTIGMATISM
1OTHERS 1RESBYOPIA
1SHIHARA
Results: A 4
NORMAL
WITH PARTIALCGLORBLINDNESS(RED &GREENONLY)
WTH TOTALCOLORBLINDNESS

Ths certification being issued upon the request of


for anylegal
purposes.

REMARKS

Rionnndd
DE 1CILAsbiTURA-ZĄŁMEDA O.D.
Lip Nooog4251

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