(V1) Data Entry Verification

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`Rx#`	3701298	`Written Date`	2/12/20XX	Patient Information
		`Rx Expires`	1 year	`Name`	Janet T. Jones
`Original Prescription`				`DOB`	9/21/XXXX	`Age`	20	`Ht/Wt`	70 inches, 205 lbs
at 16:57, eRx #: 3796 ELECTRONIC PRESCRIPTION Janet T. Jones Date: 2/2/20XX Zovirax 200 mg Capsule Dispense 10 day supply Sig: i po q4h for a total of 5 doses per day x10 days Refills: 0 Dr. James T. Warren DAW: substitution permitted				`Address`	2032 Missouri Street		`Phone`	785-555-8126
				`Product/Quantity/Refills/SIG`
				`Prescribed`	Zovirax Cap
				`Strength`	200 mg
				`Dispensed`	Acyclovir 200 mg Capsule
				`Pres Qty`	50
				`Dis Qty`	50
				`Day Supply`	10
				`Refills`	0
				`SIG`	Take 1 capsule by mouth every 4 hours for a total of 5 doses per day for 10 days.
`Pill Image & Dispensing Notes`				`DAW`	0	`Origin Code`	3
`Pill Image`				Prescriber Information
				`Name`	James T. Warren
				`Address`	3-G Medical Arts Building		`Fax`	785-555-4639
				`DEA`	AW1351977	`NPI`	999999999	`Phone`	785-555-4630
Dispensing `Notes`	Patient expressed concern over recurrent Herpes Simplex infections.