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    Outpatient Prescription Form For Teaching Purposes Only: Maritime Hospitals Trust

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    Jonathan Bailey
    Ms. Tracy Sparks, age 2 years and 6 months, weighing 11.2kg, is prescribed Flixotide 50 accuhaler 2 puffs twice daily and Ventolin MDI 2 puffs four times a day as needed for a maximum of 4 weeks by Dr. B. Careless at the Maritime Hospitals Trust Paediatric Outpatient Department on October 29, 2010.

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    Outpatient Prescription Form For Teaching Purposes Only: Maritime Hospitals Trust

    Uploaded by

    Jonathan Bailey
    12 views1 page
    Ms. Tracy Sparks, age 2 years and 6 months, weighing 11.2kg, is prescribed Flixotide 50 accuhaler 2 puffs twice daily and Ventolin MDI 2 puffs four times a day as needed for a maximum of 4 weeks by Dr. B. Careless at the Maritime Hospitals Trust Paediatric Outpatient Department on October 29, 2010.

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    popd_accuhaler_2yr

    Original Title

    5._popd_accuhaler_2yr

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    Ms. Tracy Sparks, age 2 years and 6 months, weighing 11.2kg, is prescribed Flixotide 50 accuhaler 2 puffs twice daily and Ventolin MDI 2 puffs four times a day as needed for a maximum of 4 weeks by Dr. B. Careless at the Maritime Hospitals Trust Paediatric Outpatient Department on October 29, 2010.

    Copyright:

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

    Outpatient Prescription Form For Teaching Purposes Only: Maritime Hospitals Trust

    Uploaded by

    Jonathan Bailey
    Ms. Tracy Sparks, age 2 years and 6 months, weighing 11.2kg, is prescribed Flixotide 50 accuhaler 2 puffs twice daily and Ventolin MDI 2 puffs four times a day as needed for a maximum of 4 weeks by Dr. B. Careless at the Maritime Hospitals Trust Paediatric Outpatient Department on October 29, 2010.

    Copyright:

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

    MARITIME HOSPITALS TRUST

    OUTPATIENT PRESCRIPTION FORM


    For Teaching Purposes Only
    A MAXIMUM SUPPLY OF FOUR WEEKS WILL NORMALLY BE ISSUED

    Patient Details
    Surname:

    Prescription Stamps

    Ms. Tracy Sparks

    Mr/Mrs/Ms
    Address:
    3 Railway Street
    Newtown
    081029TS

    PRIVATE

    Case No:
    Medicines
    Required:

    Age: 2yr 6 mth Weight: 11.2kg


    (PLEASE USE BLOCK LETTERS)

    TRUST

    PHARMACY
    Amount Issued

    Flixotide 50 accuhaler
    2 puffs bd
    X1

    Ventolin MDI
    2 puffs qds prn
    X1

    No. of
    presc. items.

    Dispensed
    by:

    Checked
    by:

    Date:

    Doctors Signature

    Consultant

    29.10.10

    B. Careless

    R.CHEST
    Paediatric OPD

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