Рецепта

Prescription type:

Prescription №

Physician UIN:

Medical specialty code:

Reg №:

Ambulatory sheet №

Amb sheet prescription №

PIN:

Prescription book:

NHIF code:

Medicine name:

ICD code:

Prescribed quantity:

Prescribed measure:

Number of days:

Signature repeats:

Signature quantity:

Signature occurrence:

Allow substitution