(V1) Data Entry Verification

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`Rx#`	9896654	`Written Date`	2/21/20XX	Patient Information
		`Rx Expires`	1 year	`Name`	Richard T. Hanson
`Original Prescription`				`DOB`	3/4/XXXX	`Age`	34	`Ht/Wt`	203 lbs
Family Practice Physician Group 1315 W. 12th Street Richard T. Hanson 1205 Edgewood Lane 2/20/20XX Lisinopril 20 mg Tablet Dispense #30 Sig: i po qd for hypertension 5 Carolyn Abman BA4132647 DAW:				`Address`	1205 Edgewood Lane		`Phone`	785-555-7302
				`Product/Quantity/Refills/SIG`
				`Prescribed`	Lisinopril Tab
				`Strength`	20 mg
				`Dispensed`	Lisinopril 20 mg Tablet
				`Pres Qty`	30
				`Dis Qty`	30
				`Day Supply`	30
				`Refills`	5
				`SIG`	Take 1 tablet by mouth once daily for high blood pressure.
`Pill Image & Dispensing Notes`				`DAW`	0	`Origin Code`	1
`Pill Image`				Prescriber Information
				`Name`	Carolyn Abman
				`Address`	1315 W. 12th Street		`Fax`	785-555-3212
				`DEA`	BA4132647	`NPI`	9999999999	`Phone`	785-555-3200
Dispensing `Notes`