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  • Prescription Form: Provincial Health Office

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    Jeanne Mari Costales
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    Eduardo Facundo Foronda, a 54-year-old married male from Brgy. Maas-asin, Magsingal, Ilocos Sur, was prescribed various medications by the Ilocos Sur Provincial Hospital for treatment over specific time periods. These included Furosemide 40mg twice daily for 28 days, Losartan 25mg once daily, Spironolactone 50mg once daily for 2 weeks, and Paracetamol 500mg every 4 to 6 hours for fever over 37.5 degrees Celsius. The prescription was issued on October 26, 2021.

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    PRESCRIPTION FORM

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    Eduardo Facundo Foronda, a 54-year-old married male from Brgy. Maas-asin, Magsingal, Ilocos Sur, was prescribed various medications by the Ilocos Sur Provincial Hospital for treatment over specific time periods. These included Furosemide 40mg twice daily for 28 days, Losartan 25mg once daily, Spironolactone 50mg once daily for 2 weeks, and Paracetamol 500mg every 4 to 6 hours for fever over 37.5 degrees Celsius. The prescription was issued on October 26, 2021.

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    © All Rights Reserved
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    39 views1 page

    Prescription Form: Provincial Health Office

    Uploaded by

    Jeanne Mari Costales
    Eduardo Facundo Foronda, a 54-year-old married male from Brgy. Maas-asin, Magsingal, Ilocos Sur, was prescribed various medications by the Ilocos Sur Provincial Hospital for treatment over specific time periods. These included Furosemide 40mg twice daily for 28 days, Losartan 25mg once daily, Spironolactone 50mg once daily for 2 weeks, and Paracetamol 500mg every 4 to 6 hours for fever over 37.5 degrees Celsius. The prescription was issued on October 26, 2021.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    Provincial Health Office

    ILOCOS SUR PROVINCIAL HOSPITAL


    GABRIELA SILANG
    T a m a g, V i g a n C i t y
    Tel No. 674-1192

    PRESCRIPTION FORM

    Date: 10/26/21
    Name: Eduardo Facundo Foronda
    Ward: Medical Classification: Philhealth __
    Age: 54 Sex: Male Civil Status: Married __
    Address: Brgy. Maas-asin, Magsingal, Ilocos Sur

    Rx
    1. Furosemide 40mg 2x a day tab for 28 days (8am / 8pm)
    2. Losartan 25 mg 1x a day tab (8am)
    3. Spironolactone 50 mg 1x a day tab for 2 weeks (8am)
    4. Paracetamol 500 mg every 4 to 6 hrs. for tempt. Of 37.5 degree
    Celsius or above

    __
    Lic. No.
    PTR No.
    S2 No.
    PHA-005-0

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