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PRESCRIPTION FOR A PATIENT SUFFERING FROM SPUTUM SMEAR POSITIVE PULMONARY TUBERCULOSIS


PRESCRIPTION FOR A PATIENT SUFFERING FROM SPUTUM SMEAR POSITIVE PULMONARY TUBERCULOSIS
Name :                                                                               Doctor’s name:
Age :                                                                                  Reg No.:
Sex:
Address:
DIAGNOSIS: SPUTUM SMEAR POSITIVE PULMONARY TUBERCULOSIS
Rx
Intensive phase:
·        Tab. ISONIAZID 300mg
·        Tab.RIFAMPICIN 600mg
·        Tab. ETHAMBUTOL 800mg
·        Tab.PYRAZINAMIDE 1500mg  
Dispense 60 tablets
1 tablet of each to be taken daily for  2 months followed by
Continuation phase:
·        Tab. ISONIAZID 300mg
·        Tab.RIFAMPICIN 600mg
·        Tab. PYRIDOXINE 10mg
Dispense 120 tablets
1 tablet of each to be taken daily for 4 months
Advice: to take good nutritious food and  maintain good hygiene
Review after 1 month                                                                  
                                                                       Signature of the doctor
                                                                             Date

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