Date:

25/02/2021

Category of the compound:

miscellaneous

Name of the patient:

Active Pharmaceutical Ingredients:

  • 14% lodoquinol Powder
  • 50% ML Ora Plus Susp
  • 50% ML Ora Sweet Susp
  • 20% Tutti Frutti
  • 20% ML Propylene Glycol

Quantity:

SIG:

Refills:

Prescribing Doctor Name: