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    White and Red Label - Pharmacy

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    sheryl Guillermo
    The document appears to be a prescription form template containing blank fields for prescription information such as generic name, brand name, manufacturer, dosage, expiry date, lot number, directions for use, pharmacist name, and patient name. The template is repeated multiple times with the same blank fields. The pharmacy address is also repeated at the top of each new template page.

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    White and Red Label - Pharmacy

    Uploaded by

    sheryl Guillermo
    868 views3 pages
    The document appears to be a prescription form template containing blank fields for prescription information such as generic name, brand name, manufacturer, dosage, expiry date, lot number, directions for use, pharmacist name, and patient name. The template is repeated multiple times with the same blank fields. The pharmacy address is also repeated at the top of each new template page.

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    The document appears to be a prescription form template containing blank fields for prescription information such as generic name, brand name, manufacturer, dosage, expiry date, lot number, directions for use, pharmacist name, and patient name. The template is repeated multiple times with the same blank fields. The pharmacy address is also repeated at the top of each new template page.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    868 views3 pages

    White and Red Label - Pharmacy

    Uploaded by

    sheryl Guillermo
    The document appears to be a prescription form template containing blank fields for prescription information such as generic name, brand name, manufacturer, dosage, expiry date, lot number, directions for use, pharmacist name, and patient name. The template is repeated multiple times with the same blank fields. The pharmacy address is also repeated at the top of each new template page.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 3

    ____________ Drugstore & Gen. Merchandise ____________ Drugstore & Gen. Merchandise ____________ Drugstore & Gen.

    Merchandise
    #111 Purok 3, ____________, ____________, Laguna #111 Purok 3, ____________, ____________, Laguna #111 Purok 3, ____________, ____________, Laguna

    Rx Date Rx Date Rx Date

    Generic Name Generic Name Generic Name

    Brand Name Brand Name Brand Name

    Manufacturer Manufacturer Manufacturer

    Dosage Strength Dosage Strength Dosage Strength

    Expiry Date Expiry Date Expiry Date

    Lot.No. Lot.No. Lot.No.

    Direction For Use Direction For Use Direction For Use

    Pharmacist Pharmacist Pharmacist

    Patient Patient Patient

    ____________ Drugstore & Gen. Merchandise ____________ Drugstore & Gen. Merchandise ____________ Drugstore & Gen. Merchandise
    #111 Purok 3, ____________, ____________, Laguna #111 Purok 3, ____________, ____________, Laguna #111 Purok 3, ____________, ____________, Laguna

    Rx Date Rx Date Rx Date

    Generic Name Generic Name Generic Name

    Brand Name Brand Name Brand Name

    Manufacturer Manufacturer Manufacturer

    Dosage Strength Dosage Strength Dosage Strength

    Expiry Date Expiry Date Expiry Date

    Lot.No. Lot.No. Lot.No.

    Direction For Use Direction For Use Direction For Use

    Pharmacist Pharmacist Pharmacist

    Patient Patient Patient

    ____________ Drugstore & Gen. Merchandise ____________ Drugstore & Gen. Merchandise ____________ Drugstore & Gen. Merchandise
    #111 Purok 3, ____________, ____________, Laguna #111 Purok 3, ____________, ____________, Laguna #111 Purok 3, ____________, ____________, Laguna

    Rx Date Rx Date Rx Date

    Generic Name Generic Name Generic Name

    Brand Name Brand Name Brand Name

    Manufacturer Manufacturer Manufacturer

    Dosage Strength Dosage Strength Dosage Strength

    Expiry Date Expiry Date Expiry Date

    Lot.No. Lot.No. Lot.No.

    Direction For Use Direction For Use Direction For Use

    Pharmacist Pharmacist Pharmacist

    Patient Patient Patient

    ____________ Drugstore & Gen. Merchandise ____________ Drugstore & Gen. Merchandise ____________ Drugstore & Gen. Merchandise
    #111 Purok 3, ____________, ____________, Laguna #111 Purok 3, ____________, ____________, Laguna #111 Purok 3, ____________, ____________, Laguna

    Rx Date Rx Date Rx Date

    Generic Name Generic Name Generic Name

    Brand Name Brand Name Brand Name

    Manufacturer Manufacturer Manufacturer

    Dosage Strength Dosage Strength Dosage Strength

    Expiry Date Expiry Date Expiry Date

    Lot.No. Lot.No. Lot.No.

    Direction For Use Direction For Use Direction For Use

    Pharmacist Pharmacist Pharmacist


    Patient Patient Patient
    ____________ Drugstore & Gen. Merchandise ____________ Drugstore & Gen. Merchandise ____________ Drugstore & Gen. Merchandise
    #111 Purok 3, ____________, ____________, Laguna #111 Purok 3, ____________, ____________, Laguna #111 Purok 3, ____________, ____________, Laguna

    Rx Date: ________________ Rx Date: ________________ Rx Date: ________________

    EXTERNAL USE EXTERNAL USE EXTERNAL USE

    ____________ Drugstore & Gen. Merchandise ____________ Drugstore & Gen. Merchandise ____________ Drugstore & Gen. Merchandise
    #111 Purok 3, ____________, ____________, Laguna #111 Purok 3, ____________, ____________, Laguna #111 Purok 3, ____________, ____________, Laguna

    Rx Date: ________________ Rx Date: ________________ Rx Date: ________________

    EXTERNAL USE EXTERNAL USE EXTERNAL USE

    ____________ Drugstore & Gen. Merchandise ____________ Drugstore & Gen. Merchandise ____________ Drugstore & Gen. Merchandise
    #111 Purok 3, ____________, ____________, Laguna #111 Purok 3, ____________, ____________, Laguna #111 Purok 3, ____________, ____________, Laguna

    Rx Date: ________________ Rx Date: ________________ Rx Date: ________________

    EXTERNAL USE EXTERNAL USE EXTERNAL USE

    ____________ Drugstore & Gen. Merchandise ____________ Drugstore & Gen. Merchandise ____________ Drugstore & Gen. Merchandise
    #111 Purok 3, ____________, ____________, Laguna #111 Purok 3, ____________, ____________, Laguna #111 Purok 3, ____________, ____________, Laguna

    Rx Date: ________________ Rx Date: ________________ Rx Date: ________________

    EXTERNAL USE EXTERNAL USE EXTERNAL USE

    ____________ Drugstore & Gen. Merchandise ____________ Drugstore & Gen. Merchandise ____________ Drugstore & Gen. Merchandise
    #111 Purok 3, ____________, ____________, Laguna #111 Purok 3, ____________, ____________, Laguna #111 Purok 3, ____________, ____________, Laguna

    Rx Date: ________________ Rx Date: ________________ Rx Date: ________________

    EXTERNAL USE EXTERNAL USE EXTERNAL USE

    ____________ Drugstore & Gen. Merchandise ____________ Drugstore & Gen. Merchandise ____________ Drugstore & Gen. Merchandise
    #111 Purok 3, ____________, ____________, Laguna #111 Purok 3, ____________, ____________, Laguna #111 Purok 3, ____________, ____________, Laguna

    Rx Date: ________________ Rx Date: ________________ Rx Date: ________________

    EXTERNAL USE EXTERNAL USE EXTERNAL USE

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