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QuestionAnswer
Top - doctors name & address , Doctors registration # Top - doctors name & address , Doctors registration #
Patient name & adrs, - todays date Patient name & adrs, - todays date
Rx Super - script/s ( Rx- "take thou "
Gives Name / Qty of Meds IN- scription ( Furadantin 50mg Tablets )
Directions to Pharmacist Sub-scription: # 50
Directions to Patient Sig 50 mg p.o. qid (SIGnature)
Generic meds , if allowed Generic meds , if allowed
Repetatur 0 1 2 3 p.r.n. refills? Repetatur 0 1 2 3 p.r.n.
Label meds Label meds
Created by: TONYMILLER
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