Patient s Name _____________________ Doctor s Name _____________________ Doctor s Phone _____________________

Doctor s Name ________________________________

prescribing specialist physician

Patient s Name __________________ Doctor s Name __________________ Doctor s Phone __________________

Surname and forenames of the doctor

Doctor s surname and forename

The name of my Doctor is

One reader calls GRISSOM, a medical doctor from Cameroon, describes his reaction

Please record the dates of the last screening for tuberculosis below

Always take PRODUCT NAME 10 mg exactly as your doctor has told you.

Always take PRODUCT NAME 20 mg exactly as your doctor has told you.

Always take PRODUCT NAME 40 mg exactly as your doctor has told you.

Always take PRODUCT NAME 80 mg exactly as your doctor has told you.

Name and address of the doctor of the person named in item 1.2

your doctor before taking Invented name .

Always take Invented name exactly as your doctor has told you.

It is very Patient s Name ____________________ important that you tell your doctor if you Doctor s Name ____________________ have ever had TB, or if you have been in close contact with someone who has had TB.

and by the way, Healey, great name for a doctor.

The duration of treatment with PRODUCT NAME 10 mg is determined by your doctor.

The duration of treatment with PRODUCT NAME 20 mg is determined by your doctor.

The duration of treatment with PRODUCT NAME 40 mg is determined by your doctor.

The duration of treatment with PRODUCT NAME 80 mg is determined by your doctor.

Whilst you are taking Invented name your doctor may want to carry out a number of tests (including

Abbott Scandinavia AB P. O. Box 509 16929 Solna Sweden

A doctor named Abbas of Curiat was the interpreter between the two men, as Constantine ignored the Italian.

Your doctor will usually reduce your Invented name dose once your condition has stabilised.

Your doctor will then prescribe Invented name capsules for you instead.

I went to see my surgeon, Dr. John Healey and by the way, Healey, great name for a doctor.

Always use Invented Name exactly as your doctor has instructed.

should prescribe another antibiotic in addition to Invented name .

If you receive more Invented name than you should If you have received too much Invented name , your doctor will amend your next dose.

On December 21, an Italian doctor, Mario Riccio, disconnected a respirator that was keeping Piergiorgio Welby alive.

decrease your blood potassium levels, consult your doctor before taking Invented name .

History Scottish otolaryngologist Peter McBride (1854 1946) first described the condition in 1897 in a BMJ article entitled Photographs of a case of rapid destruction of the nose and face .

Β 2 164 89 by Mr Morris, on behalf of the Socialist Group, on the massacre of the Kurdish population in Northern Iraq

In 1921, she founded the first anthroposophical medical clinic in Arlesheim, now known as the Ita Wegman Clinic.

If your skin becomes infected during treatment with Invented Name , you should inform your doctor.

The independent doctor's opinion given after consultation of the member of temporary staff's doctor and the Agency's medical officer shall be binding.

If you accidentally swallow some Invented Name If you or someone else accidentally swallows Invented Name , tell your doctor immediately.

Please ask your doctor if you think that the effect of PRODUCT NAME 10 mg is too strong or too weak.

Please ask your doctor if you think that the effect of PRODUCT NAME 20 mg is too strong or too weak.

Please ask your doctor if you think that the effect of PRODUCT NAME 40 mg is too strong or too weak.

Please ask your doctor if you think that the effect of PRODUCT NAME 80 mg is too strong or too weak.

Patients should be regularly reassessed by a doctor, so that the strength of invented name they are receiving remains optimal and is only changed on medical advice.

Β 2 535 88 by Mr Lomas, on behalf of the Socialist Group, on the trial of Kutlu and Sargin in Turkey.