Medical prescription
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Level 5, Unit 26/27,
One Galle Face Mall,
1A, Centre road,
Colombo 02
+94 777 511 818
+94 775 004 100
bmi | 19.8 |
---|---|
weight(Lbs) | 118.8 |
height(feet/inches) | 5' 5 |
weight(KGs) | 54 |
height(cm) | 165.1 |
Air - X 80mg | B/Meal 1/2 | A/Meal 1/4 | A/Meal 1/2 |
Aciloc 150mg | B/Meal 1/4 | B/Meal 1 | B/Meal 1/2 |
Cloxil 250mg | B/Meal 1/2 | A/Meal 3 | B/Meal 1 |
Alclox 500 MG | B/Meal 1 | A/Meal 1/4 | B/Meal 1 |
Hilin 75mg | A/Lunch 1 | A/Lunch 1 | B/Lunch 3 |
Cremaffin Syrup 225ML | A/Lunch 1/2S | A/Lunch 1S |
YOURS IN WELLNESS
Use this Prescription Template when prescribing medications or providing treatment regimens to the patients in order to address their health complaints. This PDF document can be opened on mobile devices by using a mobile browser and then opening the standard direct link.
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These templates are suggested forms only. If you're using a form as a contract, or to gather personal (or personal health) info, or for some other purpose with legal implications, we recommend that you do your homework to ensure you are complying with applicable laws and that you consult an attorney before relying on any particular form.