PRESCRIPTION
FOR A WOMEN DIAGNOSED WITH MICROCYTIC HYPOCHROMIC ANEMIA
Name : Doctor’s
name:
Age : Reg No.:
Sex:
Address:
DIAGNOSIS:
MICROCYTIC HYPOCHROMIC ANEMIA
Rx
·
TAB. FERROUS SULPHATE 200MG
Dispense 30
tablets
1 tablet to
be taken once daily for 1 month
·
Tab. VITAMIN C 500MG
Dispense 30
tablets
1 tablet to
be taken once daily for 1 month
·
Tab. ALBENDAZOLE 400MG STAT
Dispense 1
tablet
1 tablet to
be taken as a single dose
Review after
1 month
Signature of the doctor
Date
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