PRESCRIPTION FOR A PATIENT WITH PEPTIC ULCER

PRESCRIPTION FOR A PATIENT WITH PEPTIC ULCER

Name : Doctor’s name:

Age : Reg No.:

Sex:

Address:

DIAGNOSIS: PEPTIC ULCER

· TAB. PANTOPRAZOLE 40MG

Dispense 15 tablets

1 tablet to be taken daily ½ hr before breakfast for 15 days.

Avoid alcohol, smoking , mental stress.

Signature of the doctor

Date

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