You are on page 1of 1

‫ ﻋﻤﺮ ﻣﺤﻤﺪ ﺍﻟﺸﺎﻃﺮﻱ‬: Patient Name

Please Verify Patient Identity Before Dispensing

a1f66be9-7d0f-4744-97d3-
Prescription ID: National ID: 1060033338
2a0940bff388
Consultation ID: 276575 Date of Birth: 27/03/1988
Insurance Member
Patient Id: 35483 ID:
Prescription: Issued On 2024-03-15 11:18:24 Insurance Company:

Medical Prescription
Diagnosis
Doctor Name: Ayman Ali Alhwaykem
Doctor ID: 451378
Medical License: 14LM0018632
Diagnosis Summary:

L08 - Oth local infection skin & sbc tissue

Drugs
1. CHLORPHENIRAMINE MALEATE
Scientific Name: CHLORPHENIRAMINE MALEATE
Strength/Unit: 4 mg Dose/Unit: 4 mg
Pharmaceutical Form: Tablet Route: Oral use
Frequency: every 12 hours Duration: 5 Day
Indication: .
Order Instructions:
Drug Name: HISTOP TAB 4MG

2. HYDROCORTISONE ACETATE
Scientific Name: HYDROCORTISONE ACETATE
Strength/Unit: 1% Dose/Unit: 1g
Pharmaceutical Form: Cream Route: Topical
Frequency: every 12 hours Duration: 1 Month
Indication: .
Order Instructions:
Drug Name: ALFACORT 1% CREAM

1/1

You might also like