PRESCRIPTION FOR A PATIENT SUFFERING FROM URINARY TRACT INFECTION
Name : Doctor’s name:
Age : Reg No.:
Sex:
Address:
DIAGNOSIS: APHTHOUS ULCER
Rx:
·
TOPICAL TRIAMCINOLONE ACETONIDE 1% cream
Dispense One tube
To be applied 2-3 times daily for
7-10 days after meals and at bed time
·
Cap. VITAMIN B COMPLEX
Dispense
30 tablets
1
tablet to be taken for 30 days
Signature of the doctor
Date
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