Lab $5$: Retail Prescriptions

Name: John Folly

DOB

Address:

Date: $\frac{4}{26}\frac{?}{24}$

Glypizide po bid #$30($thirty$)$

Refill times

Signature: Dohn Daisy. DO

DEA#:

Generic will be dispensed unless box is checked.

#$1$

Name: Mary Thurston

DOB

Address: $123$ May Street, Anywhere, US $00000$

Date: $\frac{5}{12}\frac{?}{{24}_{?}}$

Alprazolam $0\mathrm{.}5$ po tid prn anxiety #$15($fifteen$)$

Refil

imes

Signature:

John Daisy. DO

DEA#:

AD$1234563$

Generic will be dispensed unless box is checked.

$70$