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OUR LADY OF FATIMA UNIVERSITY

Km. 23 Sumulong Highway Brgy. Sta Cruz Antipolo City


Rx No. 016 10 mL
Patient’s Name: Labrador, Christian A. Prescriber’s Name: Khent Alcantara MD
Address: Brgy. Sta. Cruz, Antipolo City Date Prepared: 9/15/14

ORANGE SYRUP
Orange Peel Tincture …… 5 mL
Sucrose ………………… 85% w/v
Use: Flavorant
Direction for use: Use for as excipient for drugs
Store in a temperature not exceeding 25°C,
Store in a cool dry place, Avoid freezing

OUR LADY OF FATIMA UNIVERSITY


Km. 23 Sumulong Highway Brgy. Sta Cruz Antipolo City
Rx No. 016 10 mL
Patient’s Name: Labrador, Christian A. Prescriber’s Name: Khent Alcantara MD
Address: Brgy. Sta. Cruz, Antipolo City Date Prepared: 9/15/14

ORANGE SYRUP
Orange Peel Tincture …… 5 mL
Sucrose ………………… 85% w/v
Use: Flavorant
Direction for use: Use for as excipient for drugs
Store in a temperature not exceeding 25°C,
Store in a cool dry place, Avoid freezing

OUR LADY OF FATIMA UNIVERSITY


Km. 23 Sumulong Highway Brgy. Sta Cruz Antipolo City
Rx No. 016 10 mL
Patient’s Name: Francisco, Nikka Prescriber’s Name: Khent Alcantara MD
Address: Brgy. Sta. Cruz, Antipolo City Date Prepared: 9/15/14

ORANGE SYRUP
Orange Peel Tincture …… 5 mL
Sucrose ………………… 85% w/v
Use: Flavorant
Direction for use: Use for as excipient for drugs
Store in a temperature not exceeding 25°C,
Store in a cool dry place, Avoid freezing

OUR LADY OF FATIMA UNIVERSITY


Km. 23 Sumulong Highway Brgy. Sta Cruz Antipolo City
Rx No. 016 10 mL
Patient’s Name: Francisco, Nikka Prescriber’s Name: Khent Alcantara MD
Address: Brgy. Sta. Cruz, Antipolo City Date Prepared: 9/15/14

ORANGE SYRUP
Orange Peel Tincture …… 5 mL
Sucrose ………………… 85% w/v
Use: Flavorant
Direction for use: Use for as excipient for drugs
Store in a temperature not exceeding 25°C,
Store in a cool dry place, Avoid freezing

OUR LADY OF FATIMA UNIVERSITY


Km. 23 Sumulong Highway Brgy. Sta Cruz Antipolo City
Rx No. 016 10 mL
Patient’s Name: Cadarao, Judith Prescriber’s Name: Khent Alcantara MD
Address: Brgy. Sta. Cruz, Antipolo City Date Prepared: 9/15/14

ORANGE SYRUP
Orange Peel Tincture …… 5 mL
Sucrose ………………… 85% w/v
Use: Flavorant
Direction for use: Use for as excipient for drugs
Store in a temperature not exceeding 25°C,
Store in a cool dry place, Avoid freezing

OUR LADY OF FATIMA UNIVERSITY


Km. 23 Sumulong Highway Brgy. Sta Cruz Antipolo City
Rx No. 016 10 mL
Patient’s Name: Cadarao, Judith Prescriber’s Name: Khent Alcantara MD
Address: Brgy. Sta. Cruz, Antipolo City Date Prepared: 9/15/14

ORANGE SYRUP
Orange Peel Tincture …… 5 mL
Sucrose ………………… 85% w/v
Use: Flavorant
Direction for use: Use for as excipient for drugs
Store in a temperature not exceeding 25°C,
Store in a cool dry place, Avoid freezing
OUR LADY OF FATIMA UNIVERSITY
Km. 23 Sumulong Highway Brgy. Sta Cruz Antipolo City
Rx No. 016 10 mL
Patient’s Name: Dela Cruz, Einna Prescriber’s Name: Khent Alcantara MD
Address: Brgy. Sta. Cruz, Antipolo City Date Prepared: 9/15/14

ORANGE SYRUP
Orange Peel Tincture …… 5 mL
Sucrose ………………… 85% w/v
Use: Flavorant
Direction for use: Use for as excipient for drugs
Store in a temperature not exceeding 25°C,
Store in a cool dry place, Avoid freezing

OUR LADY OF FATIMA UNIVERSITY


Km. 23 Sumulong Highway Brgy. Sta Cruz Antipolo City
Rx No. 016 10 mL
Patient’s Name: Dela Cruz, Einna Prescriber’s Name: Khent Alcantara MD
Address: Brgy. Sta. Cruz, Antipolo City Date Prepared: 9/15/14

ORANGE SYRUP
Orange Peel Tincture …… 5 mL
Sucrose ………………… 85% w/v
Use: Flavorant
Direction for use: Use for as excipient for drugs
Store in a temperature not exceeding 25°C,
Store in a cool dry place, Avoid freezing

OUR LADY OF FATIMA UNIVERSITY


Km. 23 Sumulong Highway Brgy. Sta Cruz Antipolo City
Rx No. 016 10 mL
Patient’s Name: Quezon, Catherine Prescriber’s Name: Khent Alcantara MD
Address: Brgy. Sta. Cruz, Antipolo City Date Prepared: 9/15/14

ORANGE SYRUP
Orange Peel Tincture …… 5 mL
Sucrose ………………… 85% w/v
Use: Flavorant
Direction for use: Use for as excipient for drugs
Store in a temperature not exceeding 25°C,
Store in a cool dry place, Avoid freezing

OUR LADY OF FATIMA UNIVERSITY


Km. 23 Sumulong Highway Brgy. Sta Cruz Antipolo City
Rx No. 016 10 mL
Patient’s Name: Quezon Catherine Prescriber’s Name: Khent Alcantara MD
Address: Brgy. Sta. Cruz, Antipolo City Date Prepared: 9/15/14

ORANGE SYRUP
Orange Peel Tincture …… 5 mL
Sucrose ………………… 85% w/v
Use: Flavorant
Direction for use: Use for as excipient for drugs
Store in a temperature not exceeding 25°C,
Store in a cool dry place, Avoid freezing

OUR LADY OF FATIMA UNIVERSITY


Km. 23 Sumulong Highway Brgy. Sta Cruz Antipolo City
Rx No. 016 10 mL
Patient’s Name: Placa, Asil Theodore Prescriber’s Name: Khent Alcantara MD
Address: Brgy. Sta. Cruz, Antipolo City Date Prepared: 9/15/14

ORANGE SYRUP
Orange Peel Tincture …… 5 mL
Sucrose ………………… 85% w/v
Use: Flavorant
Direction for use: Use for as excipient for drugs
Store in a temperature not exceeding 25°C,
Store in a cool dry place, Avoid freezing
OUR LADY OF FATIMA UNIVERSITY
Km. 23 Sumulong Highway Brgy. Sta Cruz Antipolo City
Rx No. 016 10 mL
Patient’s Name: Placa, Azil Theodore Prescriber’s Name: Khent Alcantara MD
Address: Brgy. Sta. Cruz, Antipolo City Date Prepared: 9/15/14

ORANGE SYRUP
Orange Peel Tincture …… 5 mL
Sucrose ………………… 85% w/v
Use: Flavorant
Direction for use: Use for as excipient for drugs
Store in a temperature not exceeding 25°C,
Store in a cool dry place, Avoid freezing

OUR LADY OF FATIMA UNIVERSITY


Km. 23 Sumulong Highway Brgy. Sta Cruz Antipolo City
Rx No. 016 10 mL
Patient’s Name: Samiling, May Ann Prescriber’s Name: Khent Alcantara MD
Address: Brgy. Sta. Cruz, Antipolo City Date Prepared: 9/15/14

ORANGE SYRUP
Orange Peel Tincture …… 5 mL
Sucrose ………………… 85% w/v
Use: Flavorant
Direction for use: Use for as excipient for drugs
Store in a temperature not exceeding 25°C,
Store in a cool dry place, Avoid freezing

OUR LADY OF FATIMA UNIVERSITY


Km. 23 Sumulong Highway Brgy. Sta Cruz Antipolo City
Rx No. 016 10 mL
Patient’s Name: Samiling May Ann Prescriber’s Name: Khent Alcantara MD
Address: Brgy. Sta. Cruz, Antipolo City Date Prepared: 9/15/14

ORANGE SYRUP
Orange Peel Tincture …… 5 mL
Sucrose ………………… 85% w/v
Use: Flavorant
Direction for use: Use for as excipient for drugs
Store in a temperature not exceeding 25°C,
Store in a cool dry place, Avoid freezing

OUR LADY OF FATIMA UNIVERSITY


Km. 23 Sumulong Highway Brgy. Sta Cruz Antipolo City
Rx No. 016 10 mL
Patient’s Name: Trinidad, Rochelle Jane Prescriber’s Name: Khent Alcantara MD
Address: Brgy. Sta. Cruz, Antipolo City Date Prepared: 9/15/14

ORANGE SYRUP
Orange Peel Tincture …… 5 mL
Sucrose ………………… 85% w/v
Use: Flavorant
Direction for use: Use for as excipient for drugs
Store in a temperature not exceeding 25°C,
Store in a cool dry place, Avoid freezing

OUR LADY OF FATIMA UNIVERSITY


Km. 23 Sumulong Highway Brgy. Sta Cruz Antipolo City
Rx No. 016 10 mL
Patient’s Name: Trinidad, Rochelle Jane Prescriber’s Name: Khent Alcantara MD
Address: Brgy. Sta. Cruz, Antipolo City Date Prepared: 9/15/14

ORANGE SYRUP
Orange Peel Tincture …… 5 mL
Sucrose ………………… 85% w/v
Use: Flavorant
Direction for use: Use for as excipient for drugs
Store in a temperature not exceeding 25°C,
Store in a cool dry place, Avoid freezing
OUR LADY OF FATIMA UNIVERSITY
Km. 23 Sumulong Highway Brgy. Sta Cruz Antipolo City
Rx No. 016 10 mL
Patient’s Name: Labrador, Christian A. Prescriber’s Name: Khent Alcantara MD
Address: Brgy. Sta. Cruz, Antipolo City Date Prepared: 9/15/14

ORANGE SYRUP
Orange Peel Tincture …… 5 mL
Sucrose ………………… 85% w/v
Use: Flavorant
Direction for use: Use for as excipient for drugs
Store in a temperature not exceeding 25°C,
Store in a cool dry place, Avoid freezing

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