Binh Thuan Medical Service

Dr.DONGS Polyclinic

Phan Thiet, Date... 01....../....01......./...2012..................

Name of the subscriber (patient):
AARRE KOIVUNEN
Date of brith:
29.12.1963...- Sex: Female.............
Address:
Room 708, The Beach Resort, Phan Thiet, Viet Nam
Diagnosis :
Acute dermatitis on the legs caused by sandflies bitten
and sun allergy
TREATMENT
Drugs :
1Soli-medon 40 mg
X
01
Bottles/ Ampules/ Tablets/ Packets/
Creame
Morning1bot.Afternoon.Evening
InjectionIM

Drinking/ To apply (.minutes before meal/minutes

after meal
2Cetirizin
10 mg
X
10
Bottles/ Ampules/ Tablets/
Packets/ Creame
Morning1 tab.Afternoon.Evening
1 tab
( 5
days)
Injection

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

after meal)
2.Genfrederm .
X
2 Bottles/ Ampules/ Tablets/ Packets/
Creame
Morning1 time.Afternoon1 time.Evening1 time
( 7
days)
Injection Drinking/ To apply (.minutes before meal/minutes after
meal)

Surgery: ..........................................................................................................
Bandage change :
Instrutions :
- No alcohol for a week
- Prevent from strong sunlight for at least 5 days

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