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Formulir Resep Kacamata Kiri
Kanan
Progresif Bifokus Biasa
Vitrum Sphr.
Vitrum Cylindr.
Axis
Prisma Basis
Vitrum Spher.
Vitrum Cylindr.
Axis
Prisma Basis
Forma Vitror
Color Vitror
Distant Vitror
Forma Jugi.
Pro Longin Quitat Pro Domo Pro Propin Quitat
Pro:
Bantul,
(
)