EB EYE OPTICAL - Running Receipt Generator
Fill Customer Order
Customer Name (Mr/Mrs/Ms):
Phone / Hp:
Date:
Delivery / Collection Date:
Particulars / Remarks:
Time:
Prescription
Right (R) - SPH
CYL
AXIS
+ADD
Left (L) - SPH
CYL
AXIS
+ADD
Dist PD - R
L
Near PD / Height - R
L
Frame:
Lens:
Remark:
Payment
Total Amount (RM):
Deposit Paid (RM):
Deposit Date:
Payment Status:
Full Payment
Deposit Only (Balance Due Later)
Balance Payment (Collection Day)
Balance Due (RM):
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