H|2|LUXE OPTICAL INC.|49|SM SUCAT|01|00490000007351|ANNIE ROSE MORILLO|SY, JESSA MARIE|0.00|0.00|0|0|0.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|03/30/2022|12:13:22|ANNIE ROSE MORILLO|0.00||3827|03/30/2022|11:10:39|03/30/2022|11:18:13
D|2|LUXE OPTICAL INC.|49|SM SUCAT|1|SINGLELENS|SINGLELENS|SINGLE LENS REPLACEMENT|0.00|0.00|1.00|0.00|0.00|0.00|OTHERS|LENS REPLACEMENT|LENS REPLACEMENT|0|--|1495.00|LENS REPLACEMENT|NONE|NONE|
D|2|LUXE OPTICAL INC.|49|SM SUCAT|1|11162010300200|11162010300200|161ASUVEMI S:-0.50 C:-0.00|0.00|0.00|1.00|0.00|0.00|0.00|LENS|ASPHERIC LENS|SV HMC|0|HKO FSV 1.61 HMC|0.00|SINGLE VISION|NONE|1.61|
READING|0490003504|SY, JESSA MARIE||RX PRESCRIBED|DR. GREGORIO ATIENZA JR|RIGHT|31.5|-0.50|-0.00|||20/20|FAR||||||||||||||
READING|0490003504|SY, JESSA MARIE||RX PRESCRIBED|DR. GREGORIO ATIENZA JR|LEFT|||||||FAR||||||||||||||