Page 6 - Liver patient passport
P. 6

Current medication

           Pharmacy name and address:


                          Medication                  Condition              When do I take it?            Start      Stop
                      Name                 Dose       I take it for  Morning  Noon    Evening     Bed      date       date     Doctor     Special instructions

          Prescription medicines: Medicines that have to be prescribed by your doctor and issued
          by a pharmacist.

   1   2   3   4   5   6   7   8