(V2) Product Verification Queue

ELECTRONIC PRESCRIPTION

Date: 04/01/2026 at 05:43 PM

Patient: Bob O. Sykes

Address: 832 Missouri Street

Drug: Coumadin 2.5 mg Tablet

Dispense: 20

SIG: i po QD for blood thinner

Refills: 0

DAW: substitution permitted

Prescriber: George Platz

Address: 908 Concord

DEA#: AP7323013


`Rx#`	9981150	`Written Date`	04/01/2026

`Name`	Bob O. Sykes
`DOB`	10/23/1951		`Age`	75
`Address`	832 Missouri Street		`Phone`	(316) 555-9614
`Allergies`

`Prescriber`	George Platz		`Practice`	Certified Internal Medicine Practice
`Address`	908 Concord		`Fax`	(316) 555-7794
`DEA`	AP7323013	`NPI`	7036888798	`Phone`	(316) 555-7793

`Dispensed`	Warfarin 2.5 mg Tablet
`NDC #`	57237-0121-01		`Mfg`	Rising
`Pres Qty`	20	`Dis Qty`	20	`Day Supply`	20
`Refills`	0	`DAW`	0	`Origin Code`	3

`Instructions`	Take 1 tablet by mouth once daily for blood thinner.

`Dispensing Notes`

Product Verification

Bag Tag

Counting Verification

Patient Name: Bob O. Sykes
Address: 832 Missouri Street

Stock Bottle

57237-0121-01

NDC: 57237-0121-01

Lot #: 928392
Exp Date: 7/18/2027

Pharmacist Action