‫‪1402/09/01‬‬ ‫ﺗﺎﺭﯾﺦ ﺻﺪﻭﺭ ‪:‬‬ ‫ﺳﺎﻣﺎﻧﻪ ﻧﺴﺨﻪ ﺍﻟﮑﺘﺮﻭﻧﯿﮏ‬

‫‪1402/07/23‬‬ ‫ﺗﺎﺭﯾﺦ ﺛﺒﺖ ﻧﺴﺨﻪ ‪:‬‬ ‫‪4494698889‬‬ ‫ﺷﻨﺎﺳﻪ ﯾﮑﺘﺎ ‪:‬‬

‫ﺗﺨﺼﺺ ﺑﯿﻤﺎﺭﻱ ﻫﺎﻱ‬

‫ﺗﺨﺼﺺ ‪:‬‬ ‫‪0000028789‬‬ ‫ﺷﻤﺎﺭﻩ ﻧﻈﺎﻡ ﭘﺰﺷﮑﯽ ‪:‬‬ ‫ﺳﻮﻧﯿﺎ ﭘﻮﺭﺣﻘﯽ‬ ‫ﻧﺎﻡ ﭘﺰﺷﮏ ‪:‬‬
‫ﮐﻮﺩﮐﺎﻥ‬

‫ﺩﺍﺭﻭ‬ ‫ﻧﻮﻉ ﺳﻨﺪ ‪ :‬ﻧﺴﺨﻪ‬ ‫‪4063075273‬‬ ‫ﮐﺪ ﻣﻠﯽ ﺑﯿﻤﺎﺭ ‪:‬‬ ‫ﻧﺎﻡ ﻭ ﻧﺎﻡ ﺧﺎﻧﻮﺍﺩﮔﯽ ﺑﯿﻤﺎﺭ ‪:‬‬

‫ﻧﺒﺎﺕ ﭘﯿﺮﯾﺎﺋﯽ‬

‫ﻃﺮﯾﻘﻪ ﻣﺼﺮﻑ‬ ‫ﺯﻣﺎﻥ ﻣﺼﺮﻑ‬ ‫ﻣﻘﺎﺩﯾﺮ ﻣﺼﺮﻑ‬ ‫ﺗﻌﺪﺍﺩ‬ ‫ﻋﻨﻮﺍﻥ ﺩﺍﺭﻭ‬ ‫ﺭﺩﯾﻒ‬

‫‪MILK APTAMIL PEPTI JUNIOR‬‬

‫ﻫﺮ ‪ 4‬ﺳﺎﻋﺖ‬ ‫ﻃﺒﻖ ﺩﺳﺘﻮﺭ‪-‬‬ ‫‪1‬‬ ‫‪1‬‬
‫‪POWDER ORAL 400 g‬‬
‫ﯾﮏ ﺳﯽ ﺳﯽ‪/-‬‬ ‫‪HI HEALTH CAMVIT SOLUTION,‬‬
‫ﯾﮏ ﺑﺎﺭ ﺩﺭ ﺭﻭﺯ‬ ‫‪1‬‬ ‫‪2‬‬
‫‪DROPS ORAL 30 mL‬‬
‫‪-/‬ﻧﺼﻒ ﻋﺪﺩ‬ ‫‪ESOMEPRAZOLE (AS‬‬
‫ﺩﻭ ﺑﺎﺭ ﺩﺭ ﺭﻭﺯ‬ ‫‪28‬‬ ‫‪3‬‬
‫‪MAGNESIUM) 10 mg GRANULE,‬‬

‫ﻣﻬﺮ ﻭ ﺍﻣﻀﺎ ﭘﺰﺷﮏ ‪:‬‬ ‫‪null‬‬ ‫ﺗﻮﺿﯿﺤﺎﺕ ‪:‬‬

‫‪1‬‬ ‫ﺷﻤﺎﺭﻩ ﺻﻔﺤﻪ ‪:‬‬