Scribd Logo
Upload

Welcome to Scribd!

  • (kenichi Sato/佐藤健一) (2011/10/24) Medicine and Medical Kit Certificate

    Uploaded by

    Kenichi Sato
    26 views1 page
    This patient has diabetes mellitus and hypertension and requires insulin injections. The certificate lists the patient's name, ID, date of birth, diagnosis, insulin dosage and pen needle size. It requests that the listed medications and equipment be allowed on the aircraft and provides contact information for the treating doctor for any additional questions.

    Original Description:

    Original Title

    [kenichi Sato/佐藤健一] (2011/10/24) Medicine and Medical Kit Certificate

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This patient has diabetes mellitus and hypertension and requires insulin injections. The certificate lists the patient's name, ID, date of birth, diagnosis, insulin dosage and pen needle size. It requests that the listed medications and equipment be allowed on the aircraft and provides contact information for the treating doctor for any additional questions.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    26 views1 page

    (kenichi Sato/佐藤健一) (2011/10/24) Medicine and Medical Kit Certificate

    Uploaded by

    Kenichi Sato
    This patient has diabetes mellitus and hypertension and requires insulin injections. The certificate lists the patient's name, ID, date of birth, diagnosis, insulin dosage and pen needle size. It requests that the listed medications and equipment be allowed on the aircraft and provides contact information for the treating doctor for any additional questions.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 1

    Medicine and Medical Kit Certificate

    DD.MM.YYYY Patient Name : ID : DOB : DDMMYYYY XXyears old Diagnosis


    Medication and Medical Equipment Insulin (product name) DosageU/ MorningU/ AfternoonU/ Evening

    Pen needle XXG

    This patient has Diabetes Mellitus and hypertension.for this reason, he(she) needs the injection of Insulin , brings medications and equipment in the aircraft. If you need more precise information about this patient, please contact Dr (Dostors name) via E-mail or phone below. E-mail : Phone : only Japanese

    Signature Dostors name

    You might also like