PRESCRIPTION
Patient/Reference
Distant Vision		Sph	Cyl	Axis	Reading Add	Prism1	Base1	Prism2	Base2
	R
	L
Reading		Far PD	Intermediate Strength	Near PD	Fitting Height	BOC Height	Corridor	Readers Prescription
	R
	L

JOB / FRAME INFORMATION
Job Type
Frame Type						Bevel Type	Normal
Frame Size				Frame Info
A	B	ED	DBL	Brand	Model	Colour	POF
							✕
Modify Shape ✕ A ✕ B				Thickness ✔ Specify Thickness ✕ Safety Thickness ✕ Safety Stamp ✕ Polish Edges

LENS INFORMATION		COATINGS & TREATMENTS
Lens Type		Coating Manufacturer
Sub-Type		Coating
Lens Manufacturer
Lens Name
Base Curve
Lens Material
Lens Filter
Lens Colour

Additional Items
Add Clip-On
Add Repairs
Repair Description

Special Instructions