EFTA01201947.pdf

DataSet-9 1 page 89 words document
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📄 Extracted Text (89 words)
/ / / \ \ EA NLIIVIRER Patient Nam te Address /5 City // , / / 7. , Language , 4,, s Preferred -, ,\ errots Pleate set `\ , \\\ 4 ' -, 4c3(tion preficriptio:rF 4 ; \ /,,,.., t"- ` 1, , .4. ,/ \ / / ,/ Sig ture X Prescri ,er MAXIMUM DAILY DOSE CRIPTION WILL BE FILLED GENE SS PRESCRIBER (controlled ,\\ substances only) S WRITES 'claw' IN THE ,.41,115 PRE BOX REFILLS BELOW ACIST Dispense As Written AREA: TESter,..... Illikiliii111111119111111 "- EFTA01201947
ℹ️ Document Details
SHA-256
f999f1d2d67081e10aa0078f597058747e2e8c90f3b36ed3acced268bcd7765f
Bates Number
EFTA01201947
Dataset
DataSet-9
Type
document
Pages
1

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