Optiano

Code Number Verification

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Customer Details

Customer Name:

Date:

Shop Name:

Lens Type:

Shop WhatsApp:

Customer WhatsApp:

Prescription Details

Right Eye

SPH:

CYL:

AXI:

DIA:

B.C.:

Remarks:

Left Eye

SPH:

CYL:

AXI:

DIA:

B.C.:

Remarks:

Code Number Verification

Please enter your Code Number to proceed:

Customer Details

Customer Name:

Date:

Shop Name:

Lens Type:

Shop WhatsApp:

Customer WhatsApp:

Prescription Details

Right Eye

SPH:

CYL:

AXI:

ADD:

IPD:

Remarks:

Left Eye

SPH:

CYL:

AXI:

ADD:

IPD:

Remarks:

Code Number Verification

Enter your Code Number to verify your card:

Code Number Verification

Select Card Type

Customer Details

Prescription Details

Right Eye

Left Eye

Code Number Verification

Select Card Type

Customer Details

Prescription Details

Right Eye

Left Eye

Code Number Verification