c Béah vgn uti theo td chun Singapore tl i Nam
HANH PHUC INTERNATIONAL HOSPITAL
18 sr Dry Boe, Tn AO, 8 ae Pores, a
aa pac TERNATIONAL MEDICAL BULOING | HANH PHU BVTERKATIONAL MEDICAL CENTRE
CC Vena |S, Ela Pace 8 Say Ha SOR 2 HEME
©1900 67 65 Ciera
Page oft
TOA THUOC
PRESCRIPTION
Medical Suite 1
PRN : 00139153 OB : 14-Jan-1995 (24Y OM) Gender : FEMALE
(ta sb benh nhan) (Nay sinn) (Git tian)
Pationt Name : BAO THI NGOC TRANG Home Tol : 0988586580 Weight 59 kg
(Ten bern nnany (88 di6n thos nna) (Cén nang)
NOK : PHAN THANH CHAU ANH (SPOUSE) Insurance No, (S6 BAYT)
‘Address : Thon 2 X8 Minh Hung H Bu Bang Binh Phurée
(iach)
Diagnosis :-
(Chan doén)
Follow-up date: -
(aay (6 kam)
iiem Desedption instruction ‘QuantiylJOM Duration
(én Thusc) (hung Dan Sis Dung) (86 Luong) | (Thdi Gian Bidu Ta)
[Zitromax TAB 500mg - azithromycin |-UONG LAN 2 VIEN-MOT LIEU DUY NHAT|2 Tablet
(UONG SAU AN)
Notes (Ghi chi): Allergy (Théng tin dj ng): KHONG
Home drug (Thudc dang dang 6 nha): THUOC BO
Doctor's note (Léi dan):
Emergency consultation whenever pegnant women has any abnormal sigr'S: Headache, epigastric
pain, face swelling, vaginal bleeding, contraction pain, water breaking, decreased fetal movement
‘Tai kham ngay khi c6 1 trong cac dau higu sau: nhc dau, dau, ig vi, phU mat, Gau bung ti7ng
con, ra mau am dao, ra nuéc am dao, thai clr déng it
Doctor(Béc sf) ; DrLE VAN DUC
Date (Mody): 18-0
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