北京大学第六医院处方笺翻译英文_注意缺陷与多动症障碍_专注达_哌甲酯缓释片_出国带药_出国买药必备诊断证明翻译件(加翻译宣誓词)
The Prescription of Peking University Sixth Hospital
Psychiatry-1
Name: ZHOU panda Gender: Female Age: 19 Outpatient No.: Ben 211311 Payment: Self-funded
Department: Children Date: Dec 27, 2023 Designated medical institution code: 0815000000
Name of agent: cat ID number of agent: dog Patient ID number: 0000000000000
Diagnosis | Rp Drug Name/Strength/Price | Quantity | Dose | Frequency | Route |
Attention-deficit/hyperactivity disorder
Total: 1141.72 | ② CONCERTA (Methylphenidate Hydrochloride Controlled Release Tablets) (18mg*tablets/carton) RMB 19.03
Physician: panda | 60Tablets | 36mg /time | qd | Oral |
Reviewed/Allocated by (Stamp): Verified/Dispensed by (Stamp): Pharmacy: Pharmacy of Outpatient
Note: (1) Please take medicine as directed (2) Please check the drugs in the pharmacy (3) The prescription valid within three days (including the same day) (4) Returning leftover drugs free of charge
Type of Payment: ① Non-self-paid ② partially self-paid ③ fully self-paid ④ Child ⑤ Workplace injury Time of Print: Dec 27, 2023 15:40:42