H|2|LUXE OPTICAL INC.|58|FISHER MALL|01|00580000002703|ANGELICA MAQUILAN|JORGE, CAROL|1334.82|1067.86|267|0|1067.86|0.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|03/12/2022|17:40:10|JENNIELYN ANN AQUINO|0.00|SENIOR CITIZEN|1257|03/12/2022|17:33:56|03/12/2022|17:37:28
D|2|LUXE OPTICAL INC.|58|FISHER MALL|1|SINGLELENS|SINGLELENS|SINGLE LENS REPLACEMENT|0.00|1495.00|1.00|1334.82|1067.86|266.96|OTHERS|LENS REPLACEMENT|LENS REPLACEMENT|0|--|1495.00|LENS REPLACEMENT|NONE|NONE|
D|2|LUXE OPTICAL INC.|58|FISHER MALL|1|11162010300000|11162010300000|161ASUVEMI S:+0.00 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|0580001015|JORGE, CAROL||RX PRESCRIBED|DR. SALLY CASTRO|RIGHT|33|+0.00|-0.00||||FAR||||||||||||||
READING|0580001015|JORGE, CAROL||RX PRESCRIBED|DR. SALLY CASTRO|LEFT|||||||FAR||||||||||||||