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Date : May 12th ,2024

Name : Mohamed Sameh Moahmed

Policy Number : 45/XC/36347/0

Membership Number : 445/E/0

Diagnosis/signs & symptoms :


B35.6 - Tinea cruris

Request Number : AOH19700101428583

Doctor Signature
Rodaina Mohamed
Date : May 12th ,2024

Name : Mohamed Sameh Moahmed

Policy Number : 45/XC/36347/0

Membership Number : 445/E/0

Diagnosis/signs & symptoms :


B35.6 - Tinea cruris

Labs, Scans, Radiology / Medications :


ITRAPEX 100MG-CAPSULE-100 - 2 - b.i.d./‫ اﻟﻴﻮم‬‫ﻣﺮﺗﺎن ﻓ‬
2 week(s)
every 12 hours after meals

PRIMO PLUS-LOTION - 2 - b.i.d./‫ اﻟﻴﻮم‬‫ﻣﺮﺗﺎن ﻓ‬


31 day(s)
optional

DERMOFIX-CREAM - 2 - b.i.d./‫ اﻟﻴﻮم‬‫ﻣﺮﺗﺎن ﻓ‬


31 day(s)
or tinox or candicure cream

ELICA M-CREAM - 2 - b.i.d./‫ اﻟﻴﻮم‬‫ﻣﺮﺗﺎن ﻓ‬


3 day(s)

Doctor Signature
Rodaina Mohamed
Date : May 12th ,2024

Name : Mohamed Sameh Moahmed

Policy Number : 45/XC/36347/0

Membership Number : 445/E/0

Request Number : AOH19700101428583

Doctor Signature
Rodaina Mohamed

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