Appointment ID : APP11231305399 Date of birth : 02-01-1989

Prescription Reference : PR-APP11231305399 Age : 34 years

Patient Name : Sarfaraz Ahmed Ashfaque Shaikh Gender : Male
Medical Record Number : REL324305 Department Name: Dentistry
Patient ID : 2422988234 Membership ID: 30135510
Issue Date : 2023-11-22 Booking Reference: 3oL4nUf6ym
Status : Issued

Current Diagnosis

Drug name: ORASEPT MOUTH WASH STRAWBERRY FLAVOUR,0.125, 0.063, 0.042,Tablet

Registration No Dose / Unit Route Frequency Duration/Unit PRN

19-1013-2002 1 / TABLETE Oral Every 12 hours 7 / Day NO

Order Instructions :

Indications : K05.0 Acute gingivitis

‫اﻟ ﺨﺘ ﻢ اﻟ ﺮ ﺳ ﻤ ﻲ‬
Signature valid
‫ﺳ ﻨ ﺎ ر ﻟ ﻠ ﻄ ﺐ ا ﻻﺗ ﺼ ﺎ ﻟ ﻲ و ا ﻟ ﺮ ﻋ ﺎﻳ ﺔ ﻋ ﻦ ﺑ ﻌ ﺪ‬
Digitally signed by Dr. Mohamed Abram
Sanar Trading Company
Date : 22nd Nov 2023 8:26:5
1400006807 :‫رﻗﻢ اﻟﺘﺮﺧﻴﺺ‬

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