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Name :-AXYtani sex:- Male2236555lashyt

Age
2[6re500

date

Drug name: - furosemide1w


Preparation: - tab 40mg
Number of tabs: - 1 tabs/sbb
Frequency: - 2 times ly
Time: - 6:00 am and 6:00 pm (two times)
Duration: - 30 days
Signature: - _______________taniaa212clki
Hospital 2016 14ad
2017 January
21somhar

time:-