0 Prescription List Dr. Name:Patient Name: Departure Date: Patient Intake:SHIPPED FROM LAS VEGASPotassium 100 GramsNone3 Mo./66 Mo./12Lugol 5% Solution 2 ozNone3 Mo./46 Mo./8Acidoll 450 MgNone3 Mo./66 Mo./11Niacin 50 MgNone3 Mo./16 Mo./2Thyroid 130 Mg (2Grain)None3 Mo./66 Mo./12Liver Capsules 500 MgNone3 Mo./16 Mo./2Pancreatin 1.2 MgNone3 Mo./26 Mo./4TAKE HOME FROM HOSPITALVitamin B12 1ccNone3 Mo./26 Mo./4Needle 25G X 1 (B12)None3 Mo./906 Mo./180Syringe 3MLNone90Syringe 1.0MLNone20Coley's None1Notes Vitamin C Grams:Vitamin C Week:Vitamin C Month:Vitamin K3 Mg.:Vitamin K3 Week:Vitamin K3 Month:Xeloda Mg: Xeloda Day: Xeloda Week: Xeloda Month:Jardianz Mg:Jardianz Per Day:Jardianz Month:Metformine Mg:Metformine Per Day:Metformine Month:DCA Mg:DCA Per Day:DCA Month:Vitamin B17 Gram:Vitamin B17 Week:Vitamin B17 Month:Thiamin Mg:Thiamin Per Day:Thiamin Month:Apatone Plus Bottles:NotesAdditional Medications:
