1. Fill in the basic information of the child, including the child's name, gender, date of birth, etc.

2. Fill in the specific date of vision examination and the name and address of the examination institution on the receipt.

3. according to the items of vision examination, fill in the examination results of the child's naked eye vision, corrected vision and color vision.

4. Leave a place for the doctor's signature on the receipt, which shall be signed by the doctor and stamped with the official seal of the medical institution.