You are on page 1of 3

Prescription 1A ODD MEMBERS

Name: Rosalinda Crisanta Date: June 23, 2014


Address: 23 Basilio St. Sampaloc, Mla. Age: 40 y/o Wt./Ht.: 120 lbs. / 60

Rx

Salicylic acid powder . . . . . . 5%


Benzoic acid . . . 6%
Camphor1%
Menthol . . 0.2%
Phenol . 0.1%
Starch, q.s.

M. Ft. pulv.
Sig. Sprinkle between toes AM and PM.

Teresita Nuevo, M.D.


Lic. No. 201401A-0
PTR No. 721455
S2 No. _____________
Prescripton 1B EVEN MEMBERS
Name: Alex Santos Date: June 23, 2014
Address: 7219 Calamba St. Sampaloc, Manila Age: 60 y/oWt./Ht.:
154 lbs. / 54

Rx
Camphor .. . . . . . 0.8 parts
Calamine powder 8 parts
Starch 9.2 parts
Talc 30 parts

M. Ft. Pulv.Mitte 60 g. Jacky Lim, M.D.


Lic. No. 201401B-E
PTR No. 729876
S2 No. ___________________
Prescripton 2- BY GROUP