H|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|01|00300000027233|ANDYLEN B. LACABA|PELAGIO, ELYZARH CHRISTIAN|2990.00|2990.00|0|0|0.00|2990.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|04/25/2022|13:57:58|DR. MARK DAVIN APUYAN|0.00||19195|04/25/2022|13:53:24|04/25/2022|13:54:39|0220009101
D|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|1|1220200000016|1220200000016|500 DISCOUNT COUPON|0.00|0.00|1.00|0.00|0.00|0.00|OTHERS|COUPON|COUPON|0|NONE|0.00|NONE|NONE|NONE|
D|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|1|LENSREP|LENSREP|LENS REPLACEMENT|0.00|2990.00|1.00|2990.00|2990.00|0.00|OTHERS|LENS REPLACEMENT|LENS REPLACEMENT|0|--|2990.00|LENS REPLACEMENT|NONE|NONE|
D|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|1|0136969417|0136969417|FSV 1.61 AS UV HMC S:-4.00 C:-0.00|0.00|0.00|1.00|0.00|0.00|0.00|LENS|ASPHERIC LENS|SV HMC|0|OSP FSV 1.61 AS WHITE HMC|0.00|SINGLE VISION|NONE|1.61|
D|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|1|0137103230|0137103230|FSV 1.67 AS UV HMC S:-4.75 C:-0.00|0.00|0.00|1.00|0.00|0.00|0.00|LENS|ASPHERIC LENS|SV HMC|0|OSP FSV 1.67 HMC|0.00|SINGLE VISION|NONE|1.67|
CARD|ELYZARH T PELAGIO|3057|01/2027|BPI-VISA|2990.00|017926
READING|0220009101|||RX PRESCRIBED|DR. MARK DAVIN APUYAN|RIGHT|32|-4.00|-0.00||||FAR|||||||||||||||F
READING|0220009101|||RX PRESCRIBED|DR. MARK DAVIN APUYAN|LEFT|32|-4.75|-0.00||||FAR|||||||||||||||F