ZAMZAM MEDICAL COMPLEX CR No 01410101201200415‫رقم السجل التجارى‬

Tax No. 300964083900003 ‫الرقم الضريبى‬

hail king faisal St .Alazizia
License No. MS 101/3 ‫رقم الترخيص‬
Phone +966(16)5312121 ‫تليفون‬

Prescription
Patient Name Rojeen Nasir Alzerki ‫روجين نصير الزركي‬ Ph Pers 20%
Nat ID 2249077724 DoctorName Hussein Hejjazi
YY/MM/DD 40 Y Gender Female Specialty GP
File No 425768 Policy SWAN LAKE COMPANY FOR WO
Date 11-07-2024 Insur Company TCS

Diagnosis / J30.4 / Allergic rhinitis, unspecified Allergy Weight : Kg

S CODE Medical Drugs QTY Amount
1 Generic 1440007 R / FLUTICASONE FUROATE
Drug Name AVAMYS NASAL SPRAY 1 52.10 SR
Dosage One Drops Every 24 Hour For 10 Day
Usage Method ‫ يوم‬١٠ ‫ ؟؟؟؟ لمدة‬٢٤ ‫الجرعة واحد قطره كل‬
Diagnosis J30.4 - Allergic rhinitis, unspecified
2 Generic 0370334 R / FEXOFENADINE HYDROCHLORIDE
Drug Name FEXOFIN 180 mg 1 29.25 SR
Dosage One Tablet Every 24 Hour For 14 Day
Usage Method ‫ يوم‬١٤ ‫ ؟؟؟؟ لمدة‬٢٤ ‫الجرعة واحد قرص كل‬
Diagnosis J30.4 - Allergic rhinitis, unspecified

Total 81.35
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