Retailer Name :
Phone No.
Prescription Reminder
Dr. Name:
Dr. Suraj
Patient Name:
SHAILENDER
Dr. Reg. No.:
Patient Address:
DELHO
Sr. No.
Item Name
Qty
1
1UP 18MG 100
10
2
2MOLAR 1/6 540ML
1
3
2PCS W NED 20ML21GX1 1/2DISCII 80
10
4
2PEN LB 10
20
5
2MOLARDDDD 1/6 540ML
7
6
10%INVERT SUGAR 1*500ML
23
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