ደምሴ ዳርሳቦ መካከለኛ ክሊኒክ ደምሴ ዳርሳቦ መካከለኛ ክሊኒክ ደምሴ ዳርሳቦ መካከለኛ ክሊኒክ

DEMISSIE DARSABO CLINIC DEMISSIE DARSABO CLINIC DEMISSIE DARSABO CLINIC

0933998464 0933998464 0933998464
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Name …………………………………… Name …………………………………… Name ……………………………………
Age………… Age………… Age…………
sex ………………… Sex ………………… sex …………………
Address……… Address……… Address………
Date…………………………
Date………………………… Date…………………………
MRN……………
MRN…………… MRN……………
Rx
Rx Rx

Physician Name………………..
Physician Name……………….. Physician Name………………..

ደምሴ ዳርሳቦ መካከለኛ ክሊኒክ ደምሴ ዳርሳቦ መካከለኛ ክሊኒክ

ደምሴ ዳርሳቦ መካከለኛ ክሊኒክ
DEMISSIE DARSABO CLINIC DEMISSIE DARSABO CLINIC
DEMISSIE DARSABO CLINIC
0933998464 0933998464
0933998464
Prescription Prescription
Prescription
Name …………………………………… Name ……………………………………
Name ……………………………………
Age………… age…………
Age…………
Sex ………………… sex …………………
Sex …………………
Address……… Address………
Address………
Date………………………… Date…………………………
Date…………………………
MRN…………… MRN……………
MRN……………
Rx
Rx Rx

Physician Name……………….. Physician Name……………….. Physician Name………………..