PRESCRIPTION FOR A PATIENT SUFFERING
FROM URINARY TRACT INFECTION
Name : Doctor’s
name:
Age : Reg No.:
Sex:
Address:
DIAGNOSIS:
URINARY TRACT INFECTION
Rx
·
Tab. OFLOXACIN 200mg
Dispense 14
tablets
1 tablet to
be taken twice daily for 7 days after food
Advice:
plenty of water intake
Signature of the doctor
Date
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