PRESCRIPTION
FOR A CASE OF UPPER RESPIRATORY INFECTION
Name : Doctor’s
name:
Age : Reg
No.:
Sex:
Address:
DIAGNOSIS:
UPPER RESPIRATORY INFECTION
Rx
·
Tab. PARACETAMOL 650 mg
Dispense 9 tablets
1 tablet to be taken
thrice a day for 3 days
·
Tab. CETRIZINE 10mg
Dispense 3 tablets
1 tablet to be taken at
night for 3 days
Signature
of the doctor
Date
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