Prescription for a patient suffering from acute attack of renal colic/ acute ABDOMEN

Prescription for a patient suffering from acute attack of renal colic/ acute ABDOMEN

Name : Doctor’s name:

Age : Reg No.:

Sex:

Address:

DIAGNOSIS: ACUTE ATTACK OF RENAL COLIC

· Inj. DICYCLOMINE 10mg

Dispense 1 ampule

1 ampule to be given IM stat

· Tab. DICYCLOMINE 10 mg

Dispense 4 tablets

1 tablet to be taken whenever required

Plenty of water intake

Signature of the doctor

Date

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