Prescription Converter for Contact Lenses
â Right Eye (OD)
â Left Eye (OS)
Website: www.3rdeyewear.com
Email: info@3rdeyewear.com
Contact: +8801821452389
Location: Dhaka Bangladesh
Email: info@3rdeyewear.com
Contact: +8801821452389
Location: Dhaka Bangladesh
Reference No:
Date:
Name:
Phone:
| EYE DETAILS | SPHERES (SPH) | CYLINDER (CYL) |
|---|---|---|
| đ Right Eye (OD) | ||
| đ Left Eye (OS) |
DETAILED YOUR CONTACT LENSES POWER
Right Eye (OD)
D.
D.
CORRECTED POWER
Left Eye (OS)
D.
D.
CORRECTED POWER
Special Notes:
1. Always consult an eye care professional.
2. Validated for soft contact lens use only.
1. Always consult an eye care professional.
2. Validated for soft contact lens use only.
Authorized Signature
