Guide for a valid prescription
Dr. Varun, MBBS, MD
Name of Hospital / Clinic
Address of Hospital / Clinic
Regd. No. ........................
Name of Patient ...........
Age ..........................
Address of Patient .........
Date of Consultation ......
Medicine Name
Strength
Dose
Duration
E.g. Metformin
500mg
1-0-1
6 months
Doctor's Stamp
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Medicines will be dispensed as per prescription
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Supported files type: Jpeg, Jpg, png, pdf
Include details of doctor and patient + clinic visit date
Maximum allowed file size: 5mb
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Karnataka, India