PRESCRIPTION FOR A PATIENT HAVING ACUTE CONGESTIVE GLAUCOMA.

PRESCRIPTION FOR A PATIENT HAVING ACUTE CONGESTIVE GLAUCOMA.

Name : Doctor’s name:

Age : Reg No.:

Sex:

Address:

DIAGNOSIS: CHRONIC SIMPLE GLAUCOMA

· LATANOPROST eye drops 0.005%

Dispense 1 bottle

1 drop to be instilled in each eye once in the evening for 1 month

· TIMOLOL 0.5% eye drops

Dispense 1 bottle

1 drop each to be instilled into both eyes twice a day for 1 month

· Tab. ACETAZOLAMIDE 250mg

Dispense 60 tablets

1 tablet to be taken twice a day for 1 month

Review after 1 month

Signature of the doctor

Date

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