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  • Order 05 07 20 09 20

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    soma.elhami
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    This document contains information about a prescription issued by Dr. Somayeh Elhami, a general practitioner, for patient Ebrahim Elhami. It details the patient's national ID, type of insurance, insurance organization, valid insurance dates, and relationship to head of household. The prescription is for 100 tablets of Valzomix 5mg/80mg to be taken every 12 hours. It contains the prescription code, prescribing doctor's registration number, and tracking ID number.

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    order-05-07-20-09-20

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    This document contains information about a prescription issued by Dr. Somayeh Elhami, a general practitioner, for patient Ebrahim Elhami. It details the patient's national ID, type of insurance, insurance organization, valid insurance dates, and relationship to head of household. The prescription is for 100 tablets of Valzomix 5mg/80mg to be taken every 12 hours. It contains the prescription code, prescribing doctor's registration number, and tracking ID number.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    3 views1 page

    Order 05 07 20 09 20

    Uploaded by

    soma.elhami
    This document contains information about a prescription issued by Dr. Somayeh Elhami, a general practitioner, for patient Ebrahim Elhami. It details the patient's national ID, type of insurance, insurance organization, valid insurance dates, and relationship to head of household. The prescription is for 100 tablets of Valzomix 5mg/80mg to be taken every 12 hours. It contains the prescription code, prescribing doctor's registration number, and tracking ID number.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    ‫ﺍﻃﻼﻋﺎﺕ ﺗﺠﻮﯾﺰ ﮐﻨﻨﺪﻩ‬

    ‫‪176286‬‬ ‫ﺷﻤﺎﺭﻩ ﻧﻈﺎﻡ‪:‬‬ ‫ﺩﮐﺘﺮ ﺳﻮﻣﺎ ﺍﻟﻬﺎﻣﯽ )ﭘﺰﺷﮏ ﻋﻤﻮﻣﯽ(‬ ‫ﻧﺎﻡ ﺗﺠﻮﯾﺰ ﮐﻨﻨﺪﻩ‪:‬‬

    ‫‪74232‬‬ ‫ﺷﻨﺎﺳﻪ ﺭﻫﮕﯿﺮﯼ‪:‬‬ ‫‪1402/02/17‬‬ ‫ﺗﺎﺭﯾﺦ ﺗﺠﻮﯾﺰ‪:‬‬

    ‫ﺍﻃﻼﻋﺎﺕ ﺑﯿﻤﺎﺭ‬

    ‫‪2938611994‬‬ ‫ﮐﺪ ﻣﻠﯽ‪:‬‬ ‫ﺍﺑﺮﺍﻫﯿﻢ ﺍﻟﻬﺎﻣﯽ‬ ‫ﻧﺎﻡ ﻭ ﻧﺎﻡ ﺧﺎﻧﻮﺍﺩﮔﯽ‪:‬‬

    ‫ﮐﺎﺭﮐﻨﺎﻥ ﺩﻭﻟﺖ‬ ‫ﻧﻮﻉ ﺻﻨﺪﻭﻕ‪:‬‬ ‫ﺑﯿﻤﻪ ﺳﻼﻣﺖ‬ ‫ﺳﺎﺯﻣﺎﻥ ﺑﯿﻤﻪ ﮔﺮ‪:‬‬

    ‫‪1402/06/03‬‬ ‫ﺗﺎﺭﯾﺦ ﺍﻋﺘﺒﺎﺭ ﺑﯿﻤﻪ‪:‬‬ ‫ﺳﺮﭘﺮﺳﺖ‬ ‫ﻧﺴﺒﺖ ﺑﺎ ﺳﺮﭘﺮﺳﺖ‪:‬‬

    ‫ﻣﯿﺰﺍﻥ ﻣﺼﺮﻑ‬ ‫ﺗﻌﺪﺍﺩ‬ ‫ﻧﺎﻡ ﺧﺪﻣﺖ‬ ‫ﮐﺪ ﺧﺪﻣﺖ‬

    ‫ﻫﺮ ‪ 12‬ﺳﺎﻋﺖ‪ 1 ،‬ﻋﺪﺩ‬ ‫‪100‬‬ ‫)ﺩﺍﺭﻭﺳﺎﺯﯼ ﺩﮐﺘﺮ ﻋﺒﯿﺪﯼ(‪VALZOMIX TABLET ORAL 5 MG/80 MG‬‬ ‫‪19773‬‬
    ‫ﻣﻬﺮ ﻭ ﺍﻣﻀﺎ‬
    ‫‪HID:202FF0XHI9‬‬

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