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    Prescription Conjuctivitis

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    Franklin Garza
    Dr. Dong diagnosed Ekaterina Kireeva with acute conjunctivitis and prescribed Polymax eye drops to be administered twice a day for 5 days. The diagnosis, treatment, and doctor's instructions were documented on a medical form from Dr. Dong's Polyclinic in Phan Thiet, Vietnam dated January 13, 2012.

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    Prescription Conjuctivitis

    Uploaded by

    Franklin Garza
    129 views1 page
    Dr. Dong diagnosed Ekaterina Kireeva with acute conjunctivitis and prescribed Polymax eye drops to be administered twice a day for 5 days. The diagnosis, treatment, and doctor's instructions were documented on a medical form from Dr. Dong's Polyclinic in Phan Thiet, Vietnam dated January 13, 2012.

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    Prescription Conjuctivitis

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    Prescription Conjuctivitis

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    Dr. Dong diagnosed Ekaterina Kireeva with acute conjunctivitis and prescribed Polymax eye drops to be administered twice a day for 5 days. The diagnosis, treatment, and doctor's instructions were documented on a medical form from Dr. Dong's Polyclinic in Phan Thiet, Vietnam dated January 13, 2012.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    129 views1 page

    Prescription Conjuctivitis

    Uploaded by

    Franklin Garza
    Dr. Dong diagnosed Ekaterina Kireeva with acute conjunctivitis and prescribed Polymax eye drops to be administered twice a day for 5 days. The diagnosis, treatment, and doctor's instructions were documented on a medical form from Dr. Dong's Polyclinic in Phan Thiet, Vietnam dated January 13, 2012.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 1

    Binh Thuan Medical Service

    Dr.DONGS Polyclinic

    Phan Thiet, Date... 13....../....01......./...2012..................


    Name of the subscriber (patient):
    EKATERINA KIREEVA
    Date of brith:
    07.08.1987...- Sex: Female.............
    Address:
    Room 206, Novela Resort, Phan Thiet, Viet Nam
    Diagnosis :
    Acute conjunctivitis
    TREATMENT
    Drugs :
    1Polymax
    X
    01
    Bottles/ Ampules/ Tablets/ Packets/ Creame
    Morning2 drop.Afternoon2 drop.Evening 2 drop

    ( 5

    days)
    Injection

    Drinking/ To apply (.minutes before meal/minutes after

    meal

    Surgery: ..........................................................................................................
    Bandage change :
    Instrutions :
    Doctors Signature:

    Add: 29A Nguyen inh Chieu- Ham Tien ward - Phan Thiet City - Binh Thuan
    Province - VIET NAM
    Tel/ Fax : (+84)62 3741213
    Mobile :
    (+84) 918210504 - Email :
    dr.vohongdongbt@yahoo.com.vn

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