(V1) Data Entry Verification

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`Rx#`	6314474	`Written Date`	2/11/20XX	Patient Information
		`Rx Expires`	1 year	`Name`	Roberta Roberts
`Original Prescription`				`DOB`	2/8/XXXX	`Age`	28	`Ht/Wt`	72 inches, 231 lbs
Hope Cancer Center 1402 Hillcrest Road Roberta Roberts 5050 Plaza Hill Road 2/11/20XX Nolvadex 10 mg Tablet Dispense #60 Sig: i po BID 3 Cynthia McDonald DAW: generic okay				`Address`	5050 Plaza Hill Road		`Phone`	785-555-0320
				`Product/Quantity/Refills/SIG`
				`Prescribed`	Nolvadex Tab
				`Strength`	10 mg
				`Dispensed`	Tamoxifen 10 mg Tablet
				`Pres Qty`	60
				`Dis Qty`	60
				`Day Supply`	30
				`Refills`	3
				`SIG`	Take 1 tablet by mouth twice daily.
`Pill Image & Dispensing Notes`				`DAW`	2	`Origin Code`	1
`Pill Image`				Prescriber Information
				`Name`	Cynthia McDonald
				`Address`	1402 Hillcrest Road		`Fax`	316-555-5716
				`DEA`	BM1854911	`NPI`	4078185319	`Phone`	316-555-5715
Dispensing `Notes`