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OSB EYE HOSPITAL

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Chief Complaints & H/O present IXlness:

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SYSTEMIC DI$EASE:
n uU n Ufu I caraA*Diseaee il Respiratory Disase I r<iOney Disease I Altrergic problem f] Others

OD/RE EXAMINAT I ON
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OS/LE I}IAGNOSIS:
VA (Unaided)
QeI BC\A clc C- TRE,ATMENT:
Lid
Conjunctiva rV \
Cor-nea
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A/C
Iris
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Pupil
Lens
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Vitreous
Ocular Moti1it1,
Fundus:
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vBBS. [lCPS {0phlh) D0 (DU), iIAiIS (Vrenfat
Senior Consultant
!SB Eye Ho6plttl, Mirpur Dhaka
IOP
Investigations:
*Cataract Package : Gthers :
D Biometry: R/L NAR
fl Blood Sugar
I Lens ]yleter
nsP I sPT<
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L-] IOP < I B-Scan
I spt< N HVFA
N ECG
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OSB EYI HOSF 1 I trL

Disease n Respiratorv Eisease

I rianey Disease I Alrergic problem
I others

OD/RE EXAMINATION osi Lii DIAGNOSIS:

VA (Unaide<l) *-c*T % ry
BC\A TREATMENT:
Lid
Conjunctiva {v
Cornea
A/C
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Iris
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Pupil
Lens
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Vitreous
Ocular Motiliq, zdw ".6
Fundus: 3 a
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uEBS MCPS t0Dhlh) D0 tDU) l,Alt,lS (Vrenn'a1

Senior Consultant
IOP 0SB Eye Hoapital, Mirpur, Dhaka

*c ataract Package: Gthers :

fl Biomehy:R/L
NAR
E Blood Sugar
fl Lens Meter
lsp N SPT<
n top< [] B-Scan
n sp'r < I HVFA
I ECG
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