Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

DROGALIFE DRUGSTORE DROGALIFE DRUGSTORE

BRGY. 111, POBLACION, LA CARLOTA CITY 6130 BRGY. 111, POBLACION, LA CARLOTA CITY 6130

Generic name: Generic name:


Brand name: Brand name:
Manufacturer: Lot no.: Manufacturer: Lot no.:
Dosage strength: Expiry date: Dosage strength: Expiry date:
Direction for use: Direction for use:
Pharmacist: Pharmacist:
Physician: Physician:
Name of Patient: Name of Patient:

WARNING: FOR EXTERNAL USE ONLY WARNING: FOR EXTERNAL USE ONLY

DROGALIFE DRUGSTORE DROGALIFE DRUGSTORE


BRGY. 111, POBLACION, LA CARLOTA CITY 6130 BRGY. 111, POBLACION, LA CARLOTA CITY 6130

Generic name: Generic name:


Brand name: Brand name:
Manufacturer: Lot no.: Manufacturer: Lot no.:
Dosage strength: Expiry date: Dosage strength: Expiry date:
Direction for use: Direction for use:
Pharmacist: Pharmacist:
Physician: Physician:
Name of Patient: Name of Patient:

WARNING: FOR EXTERNAL USE ONLY WARNING: FOR EXTERNAL USE ONLY

DROGALIFE DRUGSTORE DROGALIFE DRUGSTORE


BRGY. 111, POBLACION, LA CARLOTA CITY 6130 BRGY. 111, POBLACION, LA CARLOTA CITY 6130

Generic name: Generic name:


Brand name: Brand name:
Manufacturer: Lot no.: Manufacturer: Lot no.:
Dosage strength: Expiry date: Dosage strength: Expiry date:
Direction for use: Direction for use:
Pharmacist: Pharmacist:
Physician: Physician:
Name of Patient: Name of Patient:

WARNING: FOR EXTERNAL USE ONLY WARNING: FOR EXTERNAL USE ONLY

DROGALIFE DRUGSTORE DROGALIFE DRUGSTORE


BRGY. 111, POBLACION, LA CARLOTA CITY 6130 BRGY. 111, POBLACION, LA CARLOTA CITY 6130

Generic name: Generic name:


Brand name: Brand name:
Manufacturer: Lot no.: Manufacturer: Lot no.:
Dosage strength: Expiry date: Dosage strength: Expiry date:
Direction for use: Direction for use:
Pharmacist: Pharmacist:
Physician: Physician:
Name of Patient: Name of Patient:

WARNING: FOR EXTERNAL USE ONLY WARNING: FOR EXTERNAL USE ONLY

DROGALIFE DRUGSTORE DROGALIFE DRUGSTORE


BRGY. 111, POBLACION, LA CARLOTA CITY 6130 BRGY. 111, POBLACION, LA CARLOTA CITY 6130

Generic name: Generic name:


Brand name: Brand name:
Manufacturer: Lot no.: Manufacturer: Lot no.:
Dosage strength: Expiry date: Dosage strength: Expiry date:
Direction for use: Direction for use:
Pharmacist: Pharmacist:
Physician: Physician:
Name of Patient: Name of Patient:

WARNING: FOR EXTERNAL USE ONLY WARNING: FOR EXTERNAL USE ONLY

You might also like