How to write a Prescription

Sample Veterinary Prescription (taking example of Clavamox 250 mg tablets for a pet):

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Name, address and phone number of the Clinic/Hospital


Name of owner………………………… Name of the pet …………………………
Address of the owner…………………… Species of the pet ………………………
……………………………………………. Breed of the pet …………………………
……………………………………………. Age of the pet ……………………………

Rx

(Name of the Drug) Clavamox (formulation) Tab (strength) 250 mg

(Dosage) Give one tablet every 12 hours by mouth for 7 days.

Total tablets dispensed: 14

Refills: none

Special instructions: (if any e.g. give after food etc.)


Signature of the Veterinarian                   Date: dd/mm/yyyy

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