MEDICATION TREATMENT SHEET

Last Name: First Name: Middle Name: Date Room No. Bed No. Hosp. No.
Admitted:
CONNIE LINGUS RAFANAN 03-21-2021 208 246810
Attending Physician: Co-Manage Physician: Age: Sex C.S.

Date Rout
Medication Date Date Date Date Date Date Date
Ordered Dose e Freq. Time
AM
03-21-
Vildagliptin 50 mg PO BID PM
2021 N
AM
03-21-
Telmisartan 40 mg PO OD PM
2021 N
AM
03-21-
Essentiale Forte capsule PO OD PM
2021 N
AM
03-21-
Castor Oil 30 cc PO NOW PM
2021 N
AM
PM
N
AM
PM
N
AM
PM
N
AM
PM
N
DATE ORDERED TREATMENT Freq Time Date Date Date Date Date Date Date

03-21-2021 antidiabetic BID 8 pm

03-21-2021 Lowering hypertensiion OD 9 pm

03-21-2021 Treatment for liver damage OD 8 am

03-21-2021 Pain-recuding and anti-inflammatory NOW 7 pm