Prescription I

Tel. ER5- 600 Reg. No. 198

Rupert Black, M.D. 230 Broad Street Philadelphia 1, Philadelphia1

Name: Mrs. Anna White, age 45 Address: 619 Locust Street, Philadelphia, Philadelphia

Tabs, Thyroid USP 30 ng2 Dispense: 60 Sig. Tabs.i.t. i.d.a.c.

Rupert Black, M.D. ne.rep.

Jawab :

Tel. ER5- 600 Reg. No. 198

Rupert Black, M.D. 230 Broad Street Philadelphia 1, Philadelphia1

Nama : Mrs. Anna White

Umur :45

Alamat : jalan Locust nomor 619 , Philadelphia, Philadelphia

Tablet thyroid USP 30 mg

Berikan 60 tablet

1 kali 1 tablet sebelum makan

Rupert Black, M.D. ( Resep ini tidak boleh di ulang/ digunakan kembali kecuali menurut arahan dokter)
Prescription II

Tel. ER5- 600

Rupert Black, M.D.230 Broad Street Philadelphia 1, Philadelphia

Name: Mrs. John W. Keyes,

age: 30

Address: 525 East, 68th Sir., New York, New York 10021

Rx Theophylline 3 gm

Ephedrine Sulfate 0.6 gm

Phenobarbital 0.6 gm M. Divide into 30 capsules

Sig. Cap. i. of 4 h. p.r.n.

Rupert Black, M.D. ne.rep.

Jawab :

Tel. ER5- 600

Rupert Black, M.D.230 Broad Street Philadelphia 1, Philadelphia

Nama: Mrs. John W. Keyes

Umur : 30

Alamat : 525 East, 68th Sir., New York, New York 10021

R/ Teofilin 3 gr

Efedrin sulfat 0.6 gr

Fenobarbital 0.6 gr di bagi menjadi 30 kapsul

Tandai satu kapsul setiap 4 jam jika perlu

Rupert Black, M.D. ( Resep ini tidak boleh di ulang/ digunakan kembali kecuali menurut arahan dokter)