H|2|LUXE OPTICAL INC.|50|SM PAMPANGA|01|00500000008898|JAYVELYN DUCUT|GARCIA,, JIM|2990.00|2990.00|0|0|0.00|2990.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|03/31/2022|19:00:13|GLORY JANE MANDAP|0.00||5225|03/31/2022|18:32:41|03/31/2022|18:54:46
D|2|LUXE OPTICAL INC.|50|SM PAMPANGA|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.|50|SM PAMPANGA|1|11162010300703|11162010300703|161ASUVEMI S:-1.75 C:-0.75|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|
D|2|LUXE OPTICAL INC.|50|SM PAMPANGA|1|11162010301001|11162010301001|161ASUVEMI S:-2.50 C:-0.25|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|
CARD|JIM JOHN JIMENEZ|3293|02/2026|METROBANK-MC|2990.00|014541
READING|0190020204|GARCIA,, JIM||RX PRESCRIBED|INGRID VALERIE CRUZ|RIGHT|33|-1.75|-0.75|180|||FAR||||||||||||||
READING|0190020204|GARCIA,, JIM||RX PRESCRIBED|INGRID VALERIE CRUZ|LEFT|34.5|-2.50|-0.25|180|||FAR||||||||||||||