PRESCRIPTION
FOR A CASE OF AMOEBIC LIVER ABSCESS
Name : Doctor’s
name:
Age : Reg
No.:
Sex:
Address:
DIAGNOSIS:
AMOEBIC LIVER ABSCESS
Rx
·
Tab
METRONIDAZOLE 400 mg
Dispense 21 tablets
1 tablet to be taken thrice daily after food for 7
days
·
Tab. DILOXANIDE FUROATE 500mg
Dispense 30
tablets.
1 tablet to
be taken 3 times a day for 10 days
Signature of the doctor
Date
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