ا ﻟ ﻤ ﻘ ﻴ ﺪ ة ﻟ ﻸ د و ﻳ ﺔ ا ﻟ ﻜ ﺘ ﺮ و ﻧ ﻴ ﺔ و ﺻ ﻔ ﺔ Electronic Medical Prescription for Controlled medication

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‫و ﺻ ﻔ ﺔ اﻟ ﻜﺘ ﺮ وﻧﻴ ﺔ ﻟ ﻸ د وﻳ ﺔ اﻟ ﻤ ﻘﻴ ﺪة‬

Electronic Medical Prescription for


This prescription is
Controlled medication documented electronically
‫ﺗ ﻢ ﺗ ﻮﺛ ﻴ ﻖ ﻫ ﺬ ه اﻟ ﻮ ﺻ ﻔ ﺔ‬
‫إﻟﻜﺘﺮوﻧﻴ ًﺎ‬

Patient Information ‫ﻣ ﻌ ﻠ ﻮ ﻣ ﺎ ت ا ﻟ ﻤ ﺮﻳ ﺾ‬

Weight (kg) 101.00 ‫)ا ﻟ ﻮ ز ن ) ﻛ ﻐ ﻢ‬


Full ‫ ﺟ ﻼ ل اﻟ ﺪﻳ ﻦ‬- ‫ا ﺳﺎ ﻣ ﻪ ﻋﺒ ﺪاﻟ ﻬﺎد ي‬ ‫اﻻ ﺳﻢ‬
Name OSAMA ABDULHADI - JALALUDEEN ‫اﻟﻜﺎ ﻣ ﻞ‬
Height (cm) 180 ‫) اﻟ ﻄ ﻮ ل ) ﺳ ﻢ‬

Pregnancy status No ‫اﻟ ﺤ ﻤ ﻞ‬ Add patient ID / iqama 2059003026 ‫ ا ﻻ ﻗ ﺎ ﻣ ﺔ‬/ ‫ر ﻗ ﻢ ا ﻟ ﻬ ﻮﻳ ﺔ‬

Pregnancy start date ‫ﺗ ﺎ ر ﻳ ﺦ ﺑ ﺪا ﻳ ﺔ ا ﻟ ﺤ ﻤ ﻞ‬ Gender M ‫اﻟ ﺠﻨ ﺲ‬

Lactation status No ‫اﻟ ﺮ ﺿﺎ ﻋ ﻪ‬ Age 37 ‫اﻟﻌ ﻤ ﺮ‬

Mobile number +966560698503 ‫ر ﻗ ﻢ ا ﻟ ﺠ ﻮا ل‬

Prescription information ‫ﻣﻌﻠ ﻮ ﻣﺎ ت اﻟ ﻮ ﺻﻔ ﺔ‬

Prescription date 06/13/2024 19:56:53 ‫ﺗ ﺎ رﻳ ﺦ ا ﻟ ﻮ ﺻ ﻔ ﺔ‬ count of drugs 1 ‫ﻋ ﺪ د ا ﻷ د وﻳ ﺔ‬

Prescription ID 6130565142 ‫ر ﻗ ﻢ اﻟ ﻮ ﺻ ﻔ ﺔ‬ Status Prescribed ‫اﻟ ﺤﺎﻟ ﺔ‬

Physician Name ‫ﺣ ﺴﺎ م ﻣ ﺤ ﻤ ﺪ اﻟ ﺨ ﻀ ﺮ ى‬ ‫ا ﺳ ﻢ اﻟ ﻄﺒﻴ ﺐ‬

Institution name beverly clinics ‫ا ﺳ ﻢ اﻟ ﻤﻨ ﺸﺄ ة‬

Diagnosis Trigeminal neuralgia, ‫اﻟﺘ ﺸ ﺨﻴ ﺺ‬

Drugs information ‫ﺗ ﻔ ﺎ ﺻﻴ ﻞ ا ﻷ د وﻳ ﺔ‬

‫ﺗ ﻌﻠﻴ ﻤﺎ ت‬ ‫اﻟ ﻜ ﻤﻴﺔ‬ ‫ﺗ ﻔﺎ ﺻﻴ ﻞ اﻟ ﻮ ﺻ ﻔﺔ‬

Instructions Qty Prescription details

60 gabapentin 300 mg capsule 300 mg BID Oral 1 Month

08:34 PM
Thursday, 13 June 2024

This prescription is only dispensed through Raqeeb ‫ﻳﺘﻢ ﺻﺮف ﻫﺬه اﻟﻮﺻﻔﺔ اﻟﻄﺒﻴﺔ ﻓﻘﻂ ﻣﻦ ﺧﻼل‬
service on Seha platform ‫ﺧﺪﻣﺔ رﻗﻴﺐ ﻋﻠﻰ ﻣﻨﺼﺔ ﺻﺤﺔ‬

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