北京大学第六医院处方笺

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北京大学第六医院处方笺翻译英文_出国带药*（抑郁症药品）坐飞机过海关_模板展示：

The Prescription Note of Peking University Sixth Hospital

Medical Insurance Prescription                                                                               Self-funded 

      Name: panda  Gender: Female  Age: 36  Outpatient No.: 187671  Payment: Self-funded

Department: Psychiatry   Date: May 6, 2025 Code of the Designed Medical Institution: 08000001

Reviewed/ Dispensed by (Stamp):    Verified/Dispensed by (Stamp):  Pharmacy: Pharmacy of Outpatient

Note: (1) Pls take medicine as directed (2) Pls check the drugs in the pharmacy (3) validity: 3 days (including the day of issue). (4) The dispensed drugs will not be returned.

Type of Payment: ① Non-self-paid ② partially self-paid ③ fully self-paid ④ Child ⑤ Workplace injury      Time of Print: May 6, 2025 16:58:20

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