Component of the prescription | Present (complete/correct) |
---|---|
Patient information | |
  1. Name of patient | 94 (42c) |
  2. Age of patient | 79 |
  3. Gender of patient | 70 |
  4. Address of patient | 5 |
Prescriber information | |
  5. Name of prescriber | 90 (98c) |
  6. Signature of prescriber | 84 |
  7. SLMC registration number | 35 |
  8. Place of prescribing | 76 |
  9. Contact details of prescriber | 53 |
  10. Qualifications of the prescriber | 86 |
  11. Prescriber's rubber stamp containing - Full name, qualifications, and registration number below his signature | 89 (36c) |
Drug information | |
  12. Route of administration | 7 (90b) |
  13. Generic name of drug | 16 (87b) |
  14. Dose of drug | 93 (33b) |
  15. Frequency of drug | 97 (68b) |
  16. Duration of drug | 92 (84b) |
Other information | |
  17. Treatment symbol | 48 (61b) |
  18. Date of prescribing | 88 (94c) |
  19. Diagnosis of the diseasea | 41 |
  20. Refill informationa | 6 |