H|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|01|00300000028021|ANDYLEN B. LACABA|NARRA, ZARRA ZITA|2990.00|2490.00|0|500|0.00|2490.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|05/22/2022|16:18:47|MARY JANE AGUALIN|0.00||19819|05/22/2022|15:36:10|05/22/2022|16:08:16|0300007277
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|2490.00|500.00|OTHERS|LENS REPLACEMENT|LENS REPLACEMENT|0|--|2990.00|LENS REPLACEMENT|NONE|NONE|
D|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|1|0136993680|0136993680|FSV 1.67 AS UV HMC S:-6.50 C:-0.50|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|
D|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|1|0137103933|0137103933|FSV 1.67 AS UV HMC S:-5.75 C:-0.50|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|NARRA ZITA L NARRA|6012|04/2027|EASTWEST-MC|2490.00|813801
READING|0300007277|||RX PRESCRIBED|DR. PAULEEN CHARLES DE GUZMAN|RIGHT|29|-6.50|-0.50|40|||FAR|||||||||||||||F
READING|0300007277|||RX PRESCRIBED|DR. PAULEEN CHARLES DE GUZMAN|LEFT|29|-5.75|-0.50|15|||FAR|||||||||||||||F