Medical Prescription Format.docx
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Dr. Tapas Barman M. R. C., F. W. T. (Unany) Natabaria Bazar, 24 Pgs. (N) Phone-03215-432-740 Regd No-3586
8-30 am . To 7-30 pm.
Patient Name: Address:
Age: Date:
Rx Doctor’s Signature
Gender:
8-30 am . To 7-30 pm.
Patient Name: Address:
Age: Date:
Rx Doctor’s Signature
Gender:
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