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Date of Visit: 06/30/2019 Patient Chart DOB: 05/31/1955 Patients Name: Daily, Irene Phyllis Pt weight: 156 Ibs Diagnosis: Ur
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PRESCRIPTION FORM:

PRESCRIPTION JOR14 patients name : Daily, Irene Phyllis DOB: 05/31/1995 Date: 06130/2019 medication : sulfamethoxazole Trime

Bacterium regimen for urinary tract infection of patient daily,Irene Phyllis on 06/30/2019.

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