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Pharmskills Online - (V1) Data Entry Verification Queue - View Detail

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Rx#
7412365
Written Date
2/12/20XX
 
Rx Expires
1 year
Name
Charlene Elder
Original Prescription
DOB
1/6/XXXX
Age
16
Ht/Wt
62 inches, 139 lbs
Charles O. Elder
2/12/20XX
Zoloft 50 mg Tablet
Dispense 30
Sig: i po qd for depression
verbal order by Jaye Hawc
2
Harold L. Green
2-G Medical Arts Building
Darla Jenkins
substitution permitted
Address
940 Popular
Phone
785-555-9454
Product/Quantity/Refills/SIG
Prescribed
Zoloft Tab
Strength
50 mg
 
Dispensed
Sertraline 50 mg Tablet
Pres Qty
30
 
Dis Qty
30
 
Day Supply
30
 
Refills
2
 
SIG
Take 1 tablet by mouth once daily for depression.
Pill Image & Dispensing Notes
DAW
0
Origin Code
2
 
Pill Image
Name
Harold L. Green
Address
2-G Medical Arts Building
Fax
785-555-7719
DEA
AG1294230
NPI
5946269224
Phone
785-555-7718
Dispensing
Notes
Mother reports Charles is combative and struggling with school work.