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Ehapter -1 Page No.-

-2Dhug dihibuliansn in ahospilaea

Itii dhe bhyaital ions4 dufam
du
s Jthe

a
sloxagearain he hoshilal
batients bedsiie

m
ar
odiug_disibution or in duugoY
Mhods
lalien
ousulems o ovdey Jym
inpatin
Ph
dis penaing
hea
undiyicluolrediption
LCompleteloAY,Slorh uslem
Combination_on &
mehod
) he Lnit dose
l

oxder slem
úndivicual bitsLIplionihep
el

lfon
h_pbysition ls
mlien who, obtonndiuy- Om-
ndividagl by
any medlicolloy O)has hlal disensa
w

ng OLon_Lhayqri
re

antogs
ThoYides lhe inlxalion.o bhamauiat-
dociox,nuxiand hebiint.
dicaiian grder.s a dily
xeviuOLd
Ca

þhaymaÍsls

UHComplede log slochyilem.

nusing sialion_
Uaugs
Dsugs aIL lodaTihe nuxs
ard
ad e adminileyudbyo acondinq
ohethr 0dtr oRe phyŠLan..

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Only Lom.monly tulecd druqsal slaped onthe
uanloas

a
m
Rdud
Mnimy m
in-lind OAipiion
Yiun_ of clu
ors
h dug a adily euailable ox acdminiilhalbmn
The dou

ar
l Ph
el

iLaalosiach du hgi mditalion lhaiou

D
Onhe nuYsing Slalion at all
t chaxud lo the aliint aLLount
time.
w
re

on-Chayaeoo loo och dugsihose medi.alio

haT o šlorhtd a1 th nuxiing sdalfon o
uxoal bolienis in the toad
odlxit charq on dhe bmienTalounl
Ca

L3ombinalion oindliicdua cplfan_ondI suslim

Anc Comblelé loo iara sultm.-

he Lombinaiion sulems most_omm on ly used In

hospidalnouw dayand ia_madiiedo inlfdc the

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ust ounT dose Lmchc.alinoa OY MidiLalfon

uehe LLpiion
incivicluq

a
oicrylim 0s Pimay mtanA dasonin
dtsptnsing
limitcdlooslocs

m
UHR

)nit bieSusitm.
medicetion
uhiuh a oudrd pathagd"

ar
-Tha haxqtcl in
handtd, adminaltnd_and
mullible singe daeUnii
pbly uCLentor ont Lqular do
aobleaioh o us
Ph
Handoas
poatien bhaymactuiial stviLe housz
utiye
he ae_haxg.edo only dugs uuhith
aQre
l

day and
adminisied obim. tquiTtd at
el

lhe
H dosJtS medizaion
nuxsingstalign_whiuh_qlloos he nune.
morelme. oy dirut balient taJ.
moreime
w

medicatian e 07 allow bhamatiaj

lo sedue oHLml, Oa-
do_chch_otoby
hua moye ebhysilan
n uiliadion o boiesslonal
re

promoi
dnd non_Pio-RssionalDisonntl

ni Dose Dispensing {yatdux.

one cohich onlains
Ca

Single uni paLhat om.

on omplee.phaxtmlleulipal, dosa4 y
and aslondn q Ctnaoiud bhaima
anck_also_dihenstd_gf h imt.

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Cr liy
Date

he _hau ashoule_bavt uno1m hdule or

a
haiging o dxuas Hn_quijaole. ,
du aulg pcharasd qllcale4oifis

m
AEnlandifshoufd_he tp imind
polehaupial he nanialinluui1s

ar
hesbolkctes lon b (ale'goxsed under ifueiq
Syslemsfhe
AL ndusive o D aleial xale
Ph
Chasas abau250 paient qesludied
hiY o saq
daily_cha4esodYu(s_and
bharmaLedital suiLes is taleulalee.
12) A Dot -incluive ol.
l
el

gLY aiL mde oY dYugnaon ihe

w

3 Iheo-tsicna lee tonht.

re

Ihe eclusivepoessional telo metiall

opLiqtin4
xpensysincluding and OVLThEoc
tom.enseon but
dsug Gnd (on tainer
s
he aclal_Losto4
Ca

Bstah -tven_point
itu
sANal analsi
as o0uplume
plume elalionh
1tlaoliond
s deljined
isdeljintd0s Th
Ihe l ot whith shex is
ncithiyao OYOSS

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a
Cat-plu rale slm

m
Tt helps in adjuiment Lost luciuaion.
&Hexene
ofasantas alyh
Ín_uxnLyNalut ingnlia
aipialondpalitnis
quiemen

ar
dod

The Rot Apd Ph

In his biot s faleulaled, ino bike la th
otient by d pen DsesCpiion
l
el

Combutaized icin-
w

sovid Compuloraedonlinephaxmaryiinq-
1
ollooing inoYmaifon_i
-alient Mump
re

Kug ideniiiralion Mumbey

Tobl Dumbey o doses dispensed.

Ca

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Labelig |

the Lonuhtl
In
hbashilaphoxmoaythe bxLDAt

a
haupilal
Oqng lhsall
he disphy oltolai

m
hospilals In-Osmolion_
PL
abot_aiodui iisalon nokntpat laaing
hebxodu
caxya label dh

ar
ahpataaggshould
ddpilad oxmolion.-
mxp bblingmmypxOidle insu |
10-0Y malion_on he&hL
batein o labul is as undtx
Th
Ph
LNamet
2bsag Josm
3Sunq6
5.py alt
l

b.SpeLiat Diuon,iuquird.
el

DName hnomt 6
o fltnin sulB
dushaulde
a oayhat
be
tshauld
w

be egibla Ond Domineni

osaq0mhe he dosa4 oimands 'SOue
odminis aiion sould'appeadon labul
re

sbe nedlon In).

Shelh: Slunaih_a dng- sould be aian-
in mi sustm and whole Mumbeiu
l.h I t Shoulebu
Ca

numbry OsiHen alonq-

toiihmanulacluxu hom and, ad^uss
apiy doi h mdshlL
aluo b
shauld
menlioned on h
u lab
6 Sial disedilion iheshahe el Dedose us
Jox uleanalue_ônly Nol hhdtt-

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huld be LO1len sDeial mlas on he label.

a
DRspenuing o unao Nmbalatosy oiuni

m
Ambulatoy,ienls ase hose sho hot ouuping
bids inhospital but ulfle

ar
h haupiial
h bulaios nlinl41 lhtmeluz 1eq1s a
he 4aifon cdunlu o hat hocbial
inslued n crs þinsing ou
h oiOuslipA
Ph
nih a
he uaslalion, iht alunts a disd.d
iitulay d.balmen
hgbhysicdon iagoisihe
distasC u
A ion_alsihtin mdicalfon schdule-
l

alit odue lhe same pKsplion bso

el

h pN Iuist
4hanuLitshoula alaz y N_aLauiion la
ninalt er01A
w

n a Dhasma eeds_any layialon_aboul

h plionhe houldenlathbe
p heblonl
re

Dhutrian lhouth noialeda

he inasedu
insini 4u
h be tOunleg
o b oaxd_a lahll
n
Ca

bnlain#z And
healionSo hr
hSome on D nduc sd Dy him dlunMa

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Dato
heme)qtIxy(aStS_O h
ne imrdialoly

a
m
DOEmes4.tnL_OutpalLentApuan4LEn
Cstnsin p_emes4AntyB öxaLLHeni
taxeoYcondRan whiLh Oi Ieal_AY
Lase

ar
Dse BeclNec RmLxgen

DIKima lareAIN he_al inis alher hon

iepart didly d
Ph
eme1gineiesoho
he oPDI imjoslLAYL
Relxal (ilenL d an of0
Dy hiallending medialLdenial aLlnionez
1one
Aoshetii 0qnacli Hxealment procedun.
l
el
w
re
Ca

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ug
Page No.
Doptmaing of Conalled Date

laatmpial ospitalsdanqxQus diyg lihe

aoYDhine nd6lhidne
im n

a
dui
Led
Y JaioupupasloLonhoon h

m
diug Kycholsbi
Mantoiis and
Lugahes suchb_
sudahs Ht,195 0asaed
sthdule
and
X_o u
ase tnitd in

ar
Subs
ghd losmeii Hd 19uo.
mainlained_
StaxalYeqisisYLgis lth_shouldbebxoeduie
Ho eod ihem_and a(onialled
o ec
secdtue dhes ciugs.
iUed issue
Ph
-Medialsaheailend.erit OVTalubonsible
nonlihy ofconlolled diy4.
-hig bhamaT Ou Cnd
ubonsihle. or psopedibensin odug
l

=huplion o1 Mantol dzu4s hut lude

el

hebsoDE injoymalionR
lalblam
Hddxes
w

Dale
me
uon
and s h olhe dxua.
re

Co
ignalux o pKesibe x..
Douie o admi DLSSAalon
Ca

o
heMiplion Medaa.
qned by giud
ariliona (olalsoohatmithe palini
Duxchaspsug om_oulaid_phaima-
tan Nosol-diugs1om dh mma=

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Date
- Chaxats 0
NChasats nuntoli_and oKycht bshi_u
depetds uon aheliy ial
duly lounphusitallnaxoliz

a
on
Muurs
nuxihgSdolion ta ihe
Lhtathe KLLOd

m
Nuasashould almaya minlain a_abey
Neloxg in tace dEoasidgeLlonlamLna 1n

ar
l Ph
el
w
re
Ca

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Ch-2 HOSPITAL FORMULARYY Page No.-

Haspitalomula Date

Dine HaspilaomulaiyDib ithLs &

a
rug
Hohlight ddiion Ane delelion
o hospilal omulay-

m
Ihe hoprtalpmulaxy, ,a lit
he olphaymoituliial
aqistoiih 1t impbkiant, inDrmalion hith

ar
he uINi_inital
mécicalStat
vieuos ohe
The hospiiaomulaiy sylen AsKlsin poLuYLng
Ph
pxesLibingdiDEnsingAnd adminNeXLnga diug_
und hAir _non-psiiary a J
opielay-
nomeSLbhent drugs have olh_ nmms
he main sponiBi y 6 ao
iobhgimacyOndhea.þruilie(ommil.e
maing muLal
he tommifeeoha dion_about inulusion o-
l

CIlain__dxug and he bharaLit OA he

el

es bonsinild rLompulaliony oprodul_aind

Ce

o
w

INed toxital amulaip

re

-he inuLa ing numbe 6 nw diugs mdnudacluid

And maplud by dug om.bani
he publicin qating passbla halth
Core ai lodet DossibleLos
Ca

phay maLeulital induxtly

IEasingLOmblexi U
unlouaxd
modin modainslent druas

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Admiage Date

gives mediLine in.oxma tian io sident

a
sta buxes ang. udene

m
imbxovhe4uality0SuYgnl@ and-
aRASLe_dis pen
n
eduush inyandony Cos ahedzug
naliond Lombinations o

ar
tumavLs the
impovA adurxse dug
Ph XLaLion__managemeni

Conlen o osmulas
Ihoain dbitiue osmuloy la
subly uselul inloxmalfonda iheu_bisCribes
od o_tonsol he ue o dxuqs.
l
el

Yplion toing an imposdani ition

omulaay th i an invaluable ad
e4usdoclos,
w

The imposlanit- insuelion ox sLiplfon

LOiHingart aslloas
re

Yupilon Should b Otenneailyand

Llailyolh xelevant_ inoxmalion ih
La)bme,aa t oheatin
Ca

dName ocuqs
Le
Liono paiitni in tle ar emJ.
Repo
Rebal lionoie Lleainstucio-
ovoiddispensng Rio

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|Page No..
Date

L4 IeLiplion oniain nazoli suthalopi

h.baxaiibn muat þe
ined byht prLiber

a
m
imaIy odituiiv a
Inoamalian odauq produit approved by

ar
Hheapeuil
PTand ovide asiL
n4oYmation
iis n_oY mulaxy
nai o
nam&
Ph basiL druq
Lommo.h, names &brand hamtj
hsaaoOxmsenathachaqing
-Keule administiadfon
Cost
l

bInd he_ hua sodut liiting-

el

Gtne name bídnd name

htnapeutit o þharmaLblbqita indtu.
w

Z||bloxmalion _an Hospilal folicis

polikis
ih
and hnoctdureqovening he
re

Laoous bolas and pxoLtduse ait amed

dxug ulggeOnd ex1ion on diugui
bnit ducuuon TC includin memberahf
onsibifnlisi_on
Ca

Onbimotion hospual tqulolion goveininf-

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3.peig Jno.noal ion 3axdingCiugdosage
chedulehes ialApsoye

a
abbxeuiaiion- and sheuia inamalion_abou

m
dxua-

Oemiation_ o Hos bilal 01mulany and

ar
Druq lüt
ox mulaiy Urug lit
e
1 hamotouoed
Ph qeneriL hamil olloued
orm onsenth
binj6xmaliorn onhydala
gikoxmposalka
Hoxralo

2.blahed in LOnuenitniSine
l

0i4
el

S12e

3 aDadn loally s ehaeD (ouniyouuia

lina clinitian, pbav maaloqisl
w

tnd bhaxmaclsis

deleiion af|Hddition LOI deltiion o drug

re

adion_or
dug toth qraler oth lase xqutníy-
tuenL
Ca

malion_prouided kcp ihei

5.ner?n_altorcdanse pharnaLoloqiea
s _toilhproperiits.
bal neds deSie

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Page No.

avanion_ad Kevision o omulary Dato

or delelon a aq-

a
drtten

m
daugpsocdluctlo bt manuaclund ba
The
nseatOmbany,1h lh a4oo.c 1coid
geIle Yom.poslion_uol_pe

ar
6bxEDaralion
Cons ide
he daugso ablsheddhr,peui liay
Con Ony addrd o heomulaiy
h
Subfp
Ph
dhyg musf _be esni i ht
he bhashacoloeia _iljona oxmulan
hhe ubeclre di uq_bxpdu should uccie
abbxouall hitoIicoualucDyne
local, eiolebhySicians tanonly
he byepaytion_ ot Ånouon tom bson
l

be add.d OimulaIY
el

mullpleingdient salbe
e
gdmi Hed
h Same herrpeulic
ingseciim
ahived. by ihe useDSingt
w

DxeDAIalion
re
Ca

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Ch-3 THERAPEUTIC DRUG MONITORING PageNo.

Mine hexaptuiit dg moni oing TOL

the he vaaiouao Lonside Yed
TOD and hiqhljght he uxet

a
enanio În Indi* tToD

m
hSIhembruli dhuy onitoxing isuling ihat_
he dmoun o
measurL
H
Glain mtitins
in your bload ain

ar
dugs Lth _a nayothera jeuli uoicou
T done 0_mlle the amountl
SuL
mtcliine 0dYealaing boihsale.
oodeftet.
Ph
ox Om o lh useeulher mut be
eladions _blus dpse, blaumd or bloadcdug
cdug
Lonueniiation and phaymáLody namic
e

The Tom_Koss
l
el

Deciion lo sequut drug lev

Biologital samble-
w

lhe eaquesl
re

Laboxalo1y measuTLmenT

Rasult ammunitalion by laboalo

Ca

inital inlexbxelalion.

lhaxabuuiL manaqement.

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Q5laining maxímum beuneia ouflome a.

diug
herabybabbadpialedosing_ol

a
2.ovdirg meciical gdvoniog Dtduting h
chaneodaug loi Nbe diseseSlalo.

m
3.onioringo olhuior
nleni' haxactyislizg,dug inttaLfons.
nliYalians.
h ord lo iduet palitnWaxiabii

ar
4.iavicding- onuenLtnLe lo hJ
elonami
aliiniby byshoxlening4- ihei ospital lau.
Ph
aclos do be considrd uiny DM

0bsogt tqinendualíon_odu harapt

C0sag_and uohen he lafdosoq
l
el

Hlive meiabalileImipnamine is bio:hdinsomtd

he aciivo me iabolkla dsiprumin.
1E{eit o digeaststales- live dizase & onqustiu
w

LAxdiac lailur
4 e osalsa n popaholbl
dug moniloxinq hium,
re

henloin dr alau plilin

Ee
eo44 bghant phenuoin And þhenoboa
bilont-
Ca

He diu mani1
MLdiine_ox samblinqio- 0M resuli
in ompaiible 6ih_daug cidminisitilian

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Date

Teconcheboasibilisoamedicalan
dexd Oy
Samping Y1Orshould be_oní
Alderd lein binding ordug tohiih ae_

a
stongla bound o þlaumabsoleins
eduued albumin ltvlLmy

m
Chenyioin
highe _ton 0 unbound druyde
druea.
Kesa in

ar
Indian scemio Pho DM

ID0 a inlsodued in_idlia in mid 192o,

hoveSun
or41040h
an years
laL 20 ualtd
iill
no qaldioYy 4uidtlines
in indian haspidl.
dinicalhormaPacchlante O4 nliremedital
Nud Supboiand osson
,
l

Cnd and tommuni1y btnith' hi

el

haum couxseinilodued by
Lonsiuctivecollaboialion
should
he individualphaymausT ALudemi leadex
eadex
blu
blu and
w

Adminislhalion 0 ainingand
Ond huilal
oimulaiion blus he uaulous
HLE'DEAenns in
re

dheamc drug may 1ult in

b1andio
siqnifizant'varialion in bio auaabilily
Ca

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NpSliLaltansoTOMn_

a
a batients dose and
quiiemeni and
lo_se.dit medkalion(ombliane_

m
SS abb1obriatc.nAsKados
dosingRqLMN
oasstss the minimunm ton Yecurod
amainlain, he

ar
txhibii ioy þexiod nmded_lo,
lo minimni He lime
dosage 4dumeni and a asstss he
he
Ph
lo dedily boisons
severi oisonin4 nn lmkIqeny_hi
l
el
w
re
Ca

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Ch-6 COMMUNITY PHARMACY MANAGEMENT Page No0. -
led nöle Oh 1um
0dea maydtlaï
Dato

phax hcacem.tni.

a
Cammuniiypno macymanqemtnt_inpitAem_
all aciues inuold in he O1gant2alan
o

m
gtiling-peoble
and diuiRon,
ancd hea
acomblih_dad qootdnd ohjli
phaimaY_enleisers

ar
inahtiol nmanagemenf

a
ST up_a ntw Communiy
Hinoninq isyequi ed
Ph
mtdiuinet
phomaLyIn order ls mainiain he
bhamaly
- Hmjor
sioch ind(oueY

maleing
he exenies
bailt
ehcitnt
athievinghis abjecive
uiL o inancial yaIoLr-
is

mauan inebil0xiel_a YscYÝblipn

l

ha mn bytitii dugslhey- mulinuai

and
and
el

Cash 4inancial sOuY 8 buyinyeh oii.

unpaaoinar
w

buchau land building, machineiy0nd

re

guipmtn].
pubuYhasee Als malexialpnd olhe maleial.
stach Ondsupbly
hain tain and
aSalat,lnqts
roclucs
and inctnla
xc chaxgg
Ca

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PageNo.
Date

Adouniing an inanial |lanag.emenI

a
sbetialtoanguageAsed oy
Jndi inancialindorhai h
Ncibuntingia
a

m
Commuh taling Ahiouah
tommumilalécdhiough
inoxmaiionis
hanfgl stalment inloxmaiion

ar
nanctalL dalemtni piouIde
maaS and hey belies asseSh
dsion ap uazious deifon
inantia _
npliaiion
ue hiinoxmdlioh a
Mah
ihey MuS
Ph
ion mkt
ilyard tHeLiwly angqehei
ONGahiSafianL

aal manaqemen.
l

a0oxcinaiing onaollng
el

blanninadienqonoll ing
amalerialond he
toaxdipaifnghehiulis
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spot oYoag dug ALth_
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enlaprise is inkied n n jaits

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Date U

une on_os1oclhi
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Page No..
Date

Oairgal Lodltunlion

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he o bay

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Ca

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Dato
SRequïremernts-
The min
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suved lo anc alctssibildy

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Date

onVenitnc

a
Hacor do ConiTdeY_

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Ch5 PATIENT MEDICATION HISTORY INTERVIEW
Das.cribe paiien) mtdialion hisloy oLPate
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A ullmdfzalfon hisdory idaniiaeni

heds ond ixplosha poinispruptuiiva o
llness and ii xatment

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atn Medicatfon ineILL om- (Date

a
PATIENT MEDICATION HISTORY INTERVIEW FORM

Date:

m
NAME:T Birthdate

Last First MI

ar
Age: Sex: OF OM

|How did you hear about this clinic?

Ph
Describe briefly your present
symptoms:

Please list the names of other practitioners you have seen for this
problem:
l
el

Psychiatric Hospitalizations (include where,when, & for what

w

reason):
re

Have you ever had ECT? Have you had psychotherapy?

CURRENT MEDICATIONS
Ca

Drug allergies: ONo OYes To

Please list any medications that you are now taking. Include non-prescription medications &
vitamins or supplements:

Name of drug Dose (include strength & number of pills per day) How long
have you been taking this?

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a
m
PERSONAL HISTORY

Were there problems with your

ar
birth? (specify)

Where were your born &

raised?

What is your highest

Ph
UHigh school USome college UCollege graduate UAdvance
education? degree

Marital status: O Never maried OMarried ODivorced Separated Widowed O

|

Partneredsgnificant other
l

What is your current or past occupation

el

Are you currently working?: Yes Hours/week- if not, are you retired disa
No sick leave?
w

Do you receive disability or SSI? Yes U No Ifyes, for what disability & how long?
re

Have you ever had legal problems? (specify

elgion.
Ca

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Ch-4 MEDICATION ADHERENCE Page No.

ophaxmacitin

a
Medfradion odheyentt deined by the uold heo lih
Osgani2alionasthe dtgiee oohith lhe

m
beson'sbe hov.our OYponds ih_lhe a4to
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ar
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suam
re

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mediationciabion.
huapy laled.
Ca

o medital_xtaimensdusaioh s
o
LAmblnuly waimens.
Lach mmdiale bnt ihenaby and ealment_
inereuS oihlesil.
COndiion ulal
-S mplom.a.

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|Page No.
Date N
Pntulal
Lahoo noiiualion,appiuhenaian_abauowihle

a
Lagh
advust side eis

m
Sxssanxily
m ainminiuth asuiaual,hiaiingad
anc iualloaine pxoblem
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ar
haimaLidaKole in med icoalon adherena.
har ma.iii tan îmbiOMe medicalion odherece
baeheyan
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thoiniand And yelae any in.lannmalion to_
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P
hgovding _mecicalion adberenta
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simblilicaion 6 dug segimensandigntns
l

G acozs ohih mdy ton bui ioLoaYds

el

medicaion on adheentt
phavmouist tan_atshe mitil' hnounledat
ohedrug heapy anc ua
meditalian
w
re
Ca

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Shaieaits t imove ihe pharmacist-boT

lalonuhip.
andabb1oauhablo the bite

a
-Beitndlu
-move_¢bmmuniLalion_shill

m
nprouingbaleni tducolion
_explanalfon
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balnL
h-Chech heheaide tHe_ mens

ar
bnor he huopuli eqi
Simb
Samlanguagopolien
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Danilar the hneiia
ec
Ph
1nadminidiscaiion
Invwlu mtni iiini
l
el
w
re
Ca

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