                                                                     AGAMBIGAI PHARMA




                               RAJARAJESWARI MEDICAL COLLEGE & HOSPITAL

                                                  Kambipura, Mysore Road, Bangalore - 560 074

                          B/o Asha Rani Age I ImGender: M UHID/IP No.                                                                           60840
  Pt Name ......

R                                                                                                               Date 2/3/23 Time
                                                                 Drug Prescription
  Allergies If any :


                                                                                                                                Frequency and
  No.                                Name of the Medicine                                                Dose                        duration           Quantity
                                                                                                                            M             A        N

        1
                   TYPHOID VACCINE (TCV)

      2


      3


        4


      5


    6


    7


    8


  9


 10


                                                                                                 Doctors, Neme & Signature:
                                                                                                 Dr. Saray
                                                                                                    Juniog      AUKCRMCH
                                                                                                 Paediatrics


Note: Should be written in "CAPITAL LETTERS", should use approved list of abbreviations only.
In case of any adverse drug reaction please stop the medication and contact your doctor immediately.




                                                                                                                           2023.03.03 13:19

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