MEDI

CATIO
N
SHEE
T

Name of Patient: John Ray Ward/Room: Male Medical Ward 1

Address: Mansilingan, Bacolod City
Age: 18 years old Sex: M Admission Date: Aug 15, 2021

Florianne Jamie Lee S. Oraa

Complete name and initials
of medication nurse
D Aug 15,
a 2021
t
e
No. of Days 1
Date
Order Frequen ug/Dosage/R NO AM PM NO AM PM NO AM PM
ed cy ou C C C
Aug 15, BID Cotrimoxazo 8:00
2021 le 800 mg 1 FJLSO
capsule PO
Aug 15, OD Omeprazole 8:00
2021 20 mg 1 cap FJLSO
PO
Aug 15, q 8hrs for Metoclopram 8:00
2021 2 days then ide 10mg PO FJLSO
PRN
Aug 15, PRN Paracetamol 8:00
2021 500 mg I tab FJLSO
PO