Binh Thuan Medical Service

Dr.DONGS Polyclinic

Phan Thiet, Date.....07...../...04......../...2012..................

Name of the subscriber (patient):
XIEJINMING.................................
Date of birth:
08.07.1988.........- Sex: Female
Address:
Sai Gon Mui Ne resort, Phan Thiet, Viet Nam- Room: 618
Diagnosis :
Acute viral infection complicated with acute
pharyngitis
TREATMENT

Drugs :

1Ringer Lactate
X .. 1000 ml Bottle/ Ampules/ Tablets/ Packets/
Creame
Morning .AfternoonEvening.
Injection IV Drinking/ To apply (minutes before meal/minutes after
meal)
2Glucose 10%

X 500 ml Bottle/ Ampules/ Tablets/ Packets/

Creame
Morning.Afternoon1 bottleEvening
InjectionIV Drinking/ To apply (.minutes before meal/minutes after
meal)
3Dextrose natri .X 500 ml
Bottles/ Ampules/ Tablets/ Packets/
Creame
Morning. Afternoon
Evening
InjectionIV Drinking/ To apply (.minutes before meal/minutes after
meal)
4Laroscorbin 1 g..

X 1 Bottle/ Ampules/ Tablets/ Packets/

Creame
Morning.Afternoon1 bottleEvening
InjectionIM

Drinking/ To apply (.minutes before meal/minutes after

meal)
5Bidizym

X 1 Bottle/ Ampules/ Tablets/ Packets/

Creame
Morning.Afternoon1 bottleEvening
InjectionIM

Drinking/ To apply (.minutes before meal/minutes after

meal)
6Klamentin 1g
X ..14 Bottles/ Ampules/ Tablets/ Packets/
Creame
Morning1 tab.AfternoonEvening1 tab .
( 7
days )
Injection Drinking/ To apply (.minutes before meal/minutes after
meal)
7Cetirizin
10 mg
Tablets/ Packets/ Creame

05

Bottles/ Ampules/

Morning1 tab.Afternoon.Evening

( 5

days)
Injection

Drinking/ To apply (30.minutes before meal/minutes

after meal)
8Alphachymotrypsin 4.2mg
X 30 Bottles/ Ampules/ Tablets/ Packets/
Creame
Morning2tabs.Afternoon2tabs Evening2 tabs.
( 5
days )
Injection

Drinking/ To apply (.minutes before meal/30minutes

after meal)
9Glotadol 650mg....X 06 Bottles/ Ampules/ Tablets/ Packets/
Creame
Morning1tabAfternoon1tab.Evening 1tab
(>=
380 C )
Injection

Drinking/ To apply (.minutes before meal/minutes after

meal)
10. Vitamin C 1gr
X 1 tube Bottles/ Ampules/ Tablets/
Packets/ Creame
Morning 1 tab .Afternoon1 tab Evening .
(5
days )
Injection

Drinking/ To apply (.minutes before meal/30minutes

after meal)

12..Multivitamin
X 1 tube Bottles/ Ampules/ Tablets/
Packets/ Creame
Morning 1 tab .Afternoon1 tab Evening .
(5
days )
Injection

Drinking/ To apply (.minutes before meal/30minutes

after meal)
13.Genfrederm .. X
1 Bottles/ Ampules/ Tablets/ Packets/
Creame
Morning1 time.Afternoon1 time.Evening1 time
Injection Drinking/ To apply (.minutes before meal/minutes after
meal)

Instrutions : - Only soup for today and tomorrow .

Doctors Signature:

Add: 29A Nguyen inh Chieu- Ham Tien ward - Phan Thiet City - Binh Thuan
Province - VIET NAM
Tel/ Fax : (+84)62 3741213
Mobile :
(+84) 918210504 - Email :
dr.vohongdongbt@yahoo.com.vn