Bldg.

3, Mega Market Kidapawan City

Contact Number: 0968-851-4931
Name: Date:

Address: Contact Number:

Birthday: Weight: Age:

RECOMMENDATIONS:

CMD Starting dose ____ drops in ____ liters of water daily

Increase by ____ drops weekly
Maintenance ____ drops in ____ liters of water daily

CBF Starting ____ tablets 3 x a day 30 minutes ____ meals

CBJ 1 Sachet of CBJ in ____ glass of water ____ times a day

OTHERS

NO AVOID EAT
SOFTDRINKS Processed Foods Fruits
ENERGY DRINKS Instant Noodles Vegetables
POWDER JUICE Canned Goods Fish
CIGARETTES Junk Foods Meat (small amount)
SEASONING Fast Foods Drink more water
Alcoholic Beverages
Handle by:

WE ALSO DELIVER NATIONWIDE

CONTACT US: 0968-851-4931