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VINMEC HA LONG INTERNATIONAL HOSPITAL
DFK$GG10$/r7KiQK7{QJ3KQJ+QJ*DL73+/RQJ7QK4XQJ1LQK
LQWKRL7HO0333828188 Fax: 0333616188 Hotline: 0333656115 Emergency: 0333511599

17+8&35(6&5,37,21
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*LLWtQK*HQGHU1DP

M BN/ HN: 200032319

DFK$GGUHVV7.KX$4XDQJ+DQK7KjQKSK+/RQJ7QK4XQJ1LQK9LW1DP
Ngy sinh/ Dob: 12/11/1964

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Etoricoxib 90mg (Arcoxia 90mg (Frosst Iberica S.A.,Spain))

15 vin

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sng
&iFKGQJ8QJ
Take 1 tablet (90 Milligram)/time, 1 time a day in the morning
Route: Oral
2

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06 vin

6GQJ8VDJH ++/8QJ1 vin (5000LOOLJUDPOQ2OQPLQJj\YjR

EXLViQJYjWL
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Take 1 tablet (500 Milligram)/time, 2 times a day in the
morning and evening
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3

Tolperisone (Mydocalm 150mg)

90 vin

6GQJ8VDJH ++/8QJ1 vin (1500LOOLJUDPOQ3OQPLQJj\YjR

EXLViQJWUDYjWL
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Take 1 tablet (150 Milligram)/time, 3 times a day in the
morning, afternoon and evening
Route: Oral
4

Gabapentin 300mg (NeuRONTIN Cap 300mg (Pfizer,Germany))

30 Vin nang

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YjREXLViQJYjWLVDXQ
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Take 1 Capsule (300 Milligram)/time, 2 times a day in the
morning and evening after meals
Route: Oral

Ghi ch/ Note:

09-12-2016
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1JLFSSKiWWKXF

Bc V k v ghi tn

Patient (Full name and Signature)

(Dispensed by)

Doctor (Full name and Signature)

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%1+9,1$.+2$48&79,10(&+/21*
VINMEC HA LONG INTERNATIONAL HOSPITAL
DFK$GG10$/r7KiQK7{QJ3KQJ+QJ*DL73+/RQJ7QK4XQJ1LQK
LQWKRL7HO0333828188 Fax: 0333616188 Hotline: 0333656115 Emergency: 0333511599

17+8&35(6&5,37,21
%QKQKkQ3DWLHQW1JX\Q+X/F

*LLWtQK*HQGHU1DP

M BN/ HN: 200032319

DFK$GGUHVV7.KX$4XDQJ+DQK7KjQKSK+/RQJ7QK4XQJ1LQK9LW1DP
Ngy sinh/ Dob: 12/11/1964

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Omeprazole magnesium 20mg (Losec Mups 20mg (AstraZeneca,Sweden))

60 vin

6GQJ8VDJH ++/8QJ1 vin (200LOOLJUDPOQ2OQPLQJj\YjREXL

ViQJYjWLWUFQ
&iFKGQJ8QJ
Take 1 tablet (20 Milligram)/time, 2 times a day in the
morning and evening before meals
Route: Oral

Ghi ch/ Note:

09-12-2016
%QKQKkQNJKLU}KWrQ

1JLFSSKiWWKXF

Bc V k v ghi tn

Patient (Full name and Signature)

(Dispensed by)

Doctor (Full name and Signature)

+RjQJF1DP