Patient Eye Test Report

Medical No : -
Full Name : abd qodir Date of Birth : 01 Jan 1971
Gender : Laki-laki Phone Number / WA : 081805000040 , 085600700871
dsn ganden bululawang kabupaten Email : adeabdullah505@gmail.com
Address :
malang

SNELLEN TEST

You failed to answer 2 of 2, with a total error of 10 characters.

# Question 'Answer 'Eye

1 CGRHL N/A Left Wrong (5 char)

2 NBSYH N/A Right Wrong (5 char)

COLOR BLIND TEST

Color Blind Test is not performed.

Patient History

Complain

Eye Surgery : NO

WHAT IS FELT IN THE PATIENT'S EYES

Red Eyes? : NO

Blurred Vision? : NO

Wear Glasses? : NO

HISTORY OF DISEASE

Eye Disease History :

Comorbidities? : NO

Used Medicines :

Allergies : NO
PATIENT'S EYE PHOTO

User tidak mengupload foto mata