Professional Documents
Culture Documents
Discharge Zopiclone
Discharge Zopiclone
NOTE: Copy 1 to be sent to GP, copy 2 MUST be attached to the drug chart, copy 3 to be handed to the patient
Dear Dr.
G.Patel
GPs ADDRESS
UNIT No.
12345
NAME A. Patient
DATE OF BIRTH 12/10/45
ADDRESS : 26 High Street, Newtown
10 Railway Cuttings
Medway
WARD
Anson
CONSULTANT A.Consultant
ADMITTED ON 24/10/10
DISCHARGED ON 29/10/10
DISCHARGED TO
HOME
x
HOME WITH CARE PACKAGE
HOME WITH COMMUNITY NURSING
FOLLOW UP DATE
GP appointment
Diagnosis
Co-existing problems
Haematemesis
UTI
Date
Prescribed
DRUG
(in CAPITALS)
Route
Dose and
Frequency
Duration
Doctors
signature
29/10/10
29/10/10
29/10/10
29/10/10
Aspirin
Omeprazole
Trimethoprim
Zopiclone
Po
Po
Po
PO
75mg mane
20mg mane
200mg BD
7.5mg nocte
1/12
1/12
5/7
1/12
A. Doctor
A. Doctor
A. Doctor
A. Doctor
Yours sincerely
Medical Officers Name and Grade
(CAPITALS) A.Doctor
FY2
A.Doctor
Full summary to follow
No