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  • 73dc6a6d-f318-449d-90ff-51c4d9b03282 (1)

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    Mohmmad Hossein Nazari
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    This document is a prescription form issued by Dr. Hamid Todah Kusht, a general practitioner, on 2022-12-24. It prescribes various medications including acetaminophen injection, dexamethasone injection, acetaminophen/codeine tablets, diclofenac potassium tablets, and cefazolin injection for a patient named Mohammadhossein Nazari who is covered by the government employee health insurance plan. The prescriptions include dosages and frequencies for each medication.

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    This document is a prescription form issued by Dr. Hamid Todah Kusht, a general practitioner, on 2022-12-24. It prescribes various medications including acetaminophen injection, dexamethasone injection, acetaminophen/codeine tablets, diclofenac potassium tablets, and cefazolin injection for a patient named Mohammadhossein Nazari who is covered by the government employee health insurance plan. The prescriptions include dosages and frequencies for each medication.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    3 views1 page

    73dc6a6d-f318-449d-90ff-51c4d9b03282 (1)

    Uploaded by

    Mohmmad Hossein Nazari
    This document is a prescription form issued by Dr. Hamid Todah Kusht, a general practitioner, on 2022-12-24. It prescribes various medications including acetaminophen injection, dexamethasone injection, acetaminophen/codeine tablets, diclofenac potassium tablets, and cefazolin injection for a patient named Mohammadhossein Nazari who is covered by the government employee health insurance plan. The prescriptions include dosages and frequencies for each medication.

    Copyright:

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

    ‫ﺍﻃﻼﻋﺎﺕ ﺗﺠﻮﯾﺰ ﮐﻨﻨﺪﻩ‬

    176645 :‫ﺷﻤﺎﺭﻩ ﻧﻈﺎﻡ‬ (‫ﺩﮐﺘﺮ ﺣﻤﯿﺪ ﺗﻮﺩﻩ ﮐﺸﺖ )ﭘﺰﺷﮏ ﻋﻤﻮﻣﯽ‬ :‫ﻧﺎﻡ ﺗﺠﻮﯾﺰ ﮐﻨﻨﺪﻩ‬

    95285 :‫ﺷﻨﺎﺳﻪ ﺭﻫﮕﯿﺮﯼ‬ 1402/12/24 :‫ﺗﺎﺭﯾﺦ ﺗﺠﻮﯾﺰ‬

    ‫ﺍﻃﻼﻋﺎﺕ ﺑﯿﻤﺎﺭ‬

    4890323643 :‫ﮐﺪ ﻣﻠﯽ‬ ‫ﻣﺤﻤﺪﺣﺴﯿﻦ ﻧﻈﺮﯼ‬ :‫ﻧﺎﻡ ﻭ ﻧﺎﻡ ﺧﺎﻧﻮﺍﺩﮔﯽ‬

    ‫ﮐﺎﺭﮐﻨﺎﻥ ﺩﻭﻟﺖ‬ :‫ﻧﻮﻉ ﺻﻨﺪﻭﻕ‬ ‫ﺑﯿﻤﻪ ﺳﻼﻣﺖ‬ :‫ﺳﺎﺯﻣﺎﻥ ﺑﯿﻤﻪ ﮔﺮ‬

    1403/05/31 :‫ﺗﺎﺭﯾﺦ ﺍﻋﺘﺒﺎﺭ ﺑﯿﻤﻪ‬ ‫ﻓﺮﺯﻧﺪ‬ :‫ﻧﺴﺒﺖ ﺑﺎ ﺳﺮﭘﺮﺳﺖ‬

    ‫ﻣﯿﺰﺍﻥ ﻣﺼﺮﻑ‬ ‫ﺗﻌﺪﺍﺩ‬ ‫ﻧﺎﻡ ﺧﺪﻣﺖ‬ ‫ﮐﺪ ﺧﺪﻣﺖ‬

    ACETAMINOPHEN INJECTION, SOLUTION, CONCENTRATE


    ‫ ﻋﺪﺩ‬1 ،‫ﺩﺭ ﻣﻮﺍﻗﻊ ﻟﺰﻭﻡ‬ 1 18420
    INTRAVENOUS 150 MG/1ML 6.7 ML(‫)ﺩﺍﺭﻭﺳﺎﺯﯼ ﺍﺑﻮﺭﯾﺤﺎﻥ‬
    ‫ ﻋﺪﺩ‬1 ،‫ﻫﺮ ﺭﻭﺯ‬ 1 DEXAMETHASONE INJECTION PARENTERAL 4 MG/1ML 2 ML 00400
    ACETAMINOPHEN / CODEINE PHOSPHATE TABLET ORAL 300
    ‫ ﻋﺪﺩ‬1 ،‫ ﺑﺎﺭ ﺩﺭ ﺭﻭﺯ‬3 20 02243
    MG/20 MG
    ‫ ﻋﺪﺩ‬1 ،‫ ﺑﺎﺭ ﺩﺭ ﺭﻭﺯ‬2 10 DICLOFENAC POTASSIUM TABLET ORAL 50 MG 15917
    CEFAZOLIN INJECTION, POWDER, FOR SOLUTION PARENTERAL 1
    ‫ ﻋﺪﺩ‬1 ،‫ﻫﺮ ﺭﻭﺯ‬ 1 00222
    G
    ‫ ﻋﺪﺩ‬1 ،‫ﻫﺮ ﺭﻭﺯ‬ 1 PIROXICAM INJECTION PARENTERAL 20 MG/1ML 01018

    ‫ ﻋﺪﺩ‬1 ،‫ﻫﺮ ﺭﻭﺯ‬ 10 LORATADINE-SOBHAN TABLET ORAL 10 MG(‫)ﺳﺒﺤﺎﻥ ﺩﺍﺭﻭ‬ 01574


    SODIUM CHLORIDE INJECTION, SOLUTION PARENTERAL 0.9 %
    ‫ ﻋﺪﺩ‬1 ،‫ﻫﺮ ﺭﻭﺯ‬ 1 01144
    500 ML(‫)ﺩﺍﺭﻭﺳﺎﺯﯼ ﺷﻬﯿﺪ ﻗﺎﺿﯽ‬
    ‫ ﻋﺪﺩ‬1 ،‫ﻫﺮ ﺭﻭﺯ‬ 5 CEFIXIME 400 MG ALBORZBULK - 10 PIECES|CAP(‫)ﻣﻬﺒﺎﻥ ﺩﺍﺭﻭ‬ 52222
    VITAMIN B COMPLEX INJECTION PARENTERAL 5 MG/2 MG/2
    ‫ ﻋﺪﺩ‬1 ،‫ﺩﺭ ﻣﻮﺍﻗﻊ ﻟﺰﻭﻡ‬ 1 00125
    MG/3 MG/20 MG/1ML 2 ML(‫)ﮐﺎﺭﺧﺎﻧﺠﺎﺕ ﺩﺍﺭﻭ ﭘﺨﺶ‬
    ‫ﻣﻬﺮ ﻭ ﺍﻣﻀﺎ‬
    HID:202RA9HQIX

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