PRESCRIPTION FOR A CASE OF TYPE II DM WITH MILD HYPERTENSION
Name : Doctor’s
name:
Age : Reg
No.:
Sex:
Address:
DIAGNOSIS:
TYPE II DIABETES MELLITUS WITH MILD HYPERTENSION
Rx
·
Tab. ENALAPRIL 5mg
Dispense 30 tablets
1 tablet to be taken 1 once a day for 30 days
·
Tab METFORMIN
500 mg
Dispense 30 tablets
1 tablet to be taken 30 mins before meals for 1 month
To be reviewed after 30 days
Signature of the doctor
Date
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