PRESCRIPTION FOR A CASE OF
PARKINSONISM
Name : Doctor’s
name:
Age : Reg
No.:
Sex:
Address:
DIAGNOSIS:
PARKINSONISM
Rx
·
Tab. LEVODOPA 100MG+ CARBIDOPA 10mg
Dispense 45 tablets
1 tablet to be taken thrice daily
after meals for 15 days
Review after 15 days
Signature
of the doctor
Date
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