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7/17/2020 PGH Prescriptions

PHILIPPINE GENERAL
HOSPITAL
The National University
Hospital
University of the
Control No.
Philippines Manila
Taft Avenue,Manila
"PHIC Accredited
Healthcare Provider"
ISO 9001:2008 Certified
Date Jul 15, 2020
Patient's Name BARGO, NENA BRIONES [Diagnosis: HF FC II Age 60 Sex
secondary to IHD] y F
Address:1901 K INT. 61 ZAMORA ST., , PANDACAN, MANILA
Ward Bed No. Out Pt Dept Clinic [Cardiology]
Generic Name of Drug(s)/Item(s) Dose and Frequency (for drugs only) Qty.
Isosorbide Dinitrate 5 mg 1tab sublingual as needed for chest 30
Sublingual Tablet pain as needed
Isosorbide-5-Mononitrate 30 mg Take 1 tablet once a day indefinite 120
MR Capsule
Aspirin 80 mg Tablet Take 1 tablet once a day indefinite 120

Brand prescribing and unauthorized use of Signature


non-PNDF/PNF drugs in PGH are Printed Name Abarquez,
violations of the Universally Accessible and Anna
Francesca
Cheaper and Quality Medicines Act of
2008 (RA 9502), and Philhealth rules and
License No. 124703
regulations. Violators shall be penalized.
S2 License No.

Other S2 Info:

PHILIPPINE GENERAL
HOSPITAL
The National University
Hospital
University of the
Control No.
Philippines Manila
Taft Avenue,Manila
"PHIC Accredited
Healthcare Provider"
ISO 9001:2008 Certified
Date Jul 15, 2020
Patient's Name BARGO, NENA BRIONES [Diagnosis: HF FC II Age 60 Sex
secondary to IHD] y F
Address:1901 K INT. 61 ZAMORA ST., , PANDACAN, MANILA
Ward Bed No. Out Pt Dept Clinic [Cardiology]
Generic Name of Drug(s)/Item(s) Dose and Frequency (for drugs only) Qty.
Amlodipine 10 mg Tablet Take 1 tablet once a day indefinite 120
Losartan 100 mg Tablet Take 1 tablet once a day indefinite 120
Atorvastatin 80 mg Tablet Take 1 tablet once a day indefinite 120

Brand prescribing and unauthorized use of Signature


non-PNDF/PNF drugs in PGH are Printed Name Abarquez,
violations of the Universally Accessible and Anna
Cheaper and Quality Medicines Act of Francesca

2008 (RA 9502), and Philhealth rules and


License No. 124703
regulations. Violators shall be penalized.
S2 License No.

Other S2 Info:

172.30.1.18/radish/charts/print_prescription/7502 1/2
7/17/2020 PGH Prescriptions

PHILIPPINE GENERAL
HOSPITAL
The National University
Hospital
University of the
Control No.
Philippines Manila
Taft Avenue,Manila
"PHIC Accredited
Healthcare Provider"
ISO 9001:2008 Certified
Date Jul 15, 2020
Patient's Name BARGO, NENA BRIONES [Diagnosis: HF FC II Age 60 Sex
secondary to IHD] y F
Address:1901 K INT. 61 ZAMORA ST., , PANDACAN, MANILA
Ward Bed No. Out Pt Dept Clinic [Cardiology]
Generic Name of Drug(s)/Item(s) Dose and Frequency (for drugs only) Qty.
Multivitamins+zinc Take 1 tablet once a day indefinite 120
-- -- --
-- -- --

Brand prescribing and unauthorized use of Signature


non-PNDF/PNF drugs in PGH are Printed Name Abarquez,
violations of the Universally Accessible and Anna
Cheaper and Quality Medicines Act of Francesca

2008 (RA 9502), and Philhealth rules and


License No. 124703
regulations. Violators shall be penalized.
S2 License No.

Other S2 Info:

172.30.1.18/radish/charts/print_prescription/7502 2/2

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