PRESCRIPTION FORM - REGISTRATION IN 2018 - VALID ONLY IN 2018
SECTION A. DOCTOR'S INFORMATION
- 1.1) Assigned Doctor's Name:
[Shepard Nightingale]
- 1.2) Substitute Doctor(s) [IF ANY, IF NOT LEAVE BLANK]:
[Shepard Nightingale]
- 1.3) Number of Appointments [SUBSTITUTE DOCTOR IS COUNTED]:
[One]
- 1.4) Assigned Doctor and Substitute Doctor's Position in Department:
[Chief]
[After thoroughly examining the patient I have come to the conclusion that due to an old fierce injury, a new infection had been developing due to the severity of the patient's 'brawling'. On request of the patient, an examination was performed by Shepard Nightingale and had also been concluded by Shepard Nightingale. Even though the injuries were not life threatening, several steps of prevention have been made to prevent further and future injury. A moderate strength antibiotic has been prescribed to the patient, which is to be consumed twice a day within 12 hour intervals, an additional dose of Acetaminophen had been issued along which is to be consumed during mealtime which was happening directly after the examination. No further sessions are required with the patient, the patient should recover recent trauma without further medical aid.]
[Shepard Nightingale]
- 1.6) Prescribed Medicine:
[Acetaminophen & Amoxicillin]
SECTION B. PATIENT'S INFORMATION
Alexander Moore]
[To be updated]
- 2.3) Patient's Reason for Imprisonment
[To be updated]
[Alexander Moore 1]