PRESCRIPTION FOR A PATIENT WITH ORAL CANDIDIASIS

PRESCRIPTION FOR A PATIENT WITH ORAL CANDIDIASIS

Name : Doctor’s name:

Age : Reg No.:

Sex:

Address:

DIAGNOSIS: VAGINAL CANDIDIASIS

· Tab. FLUCANOZOLE 150mg

Dispense 1 tablet.

1 tablet to be taken as a single dose

· CLOTRIMAZOLE pessaries

Dispense 6 pessaries

1 pessary to be inserted into vaginal cavity for 6 days

Signature of the doctor

Date

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