12345-6789 SANDHU, HARPREET KAUR Sex: F DOB: 1985-Jan-01 Protected A
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▶ Summary Reports (1/1) Sandhu, Harpreet Kaur Print
Date of Birth 1985-Jan-01
812 Beaverbrook Crescent NW
EDMONTON, AB T5R 4K2
Phone (780) 555-0148
DRUG ALLERGY LIST
Grass
Penicillin
ACTIVE MEDICATIONS
Date Drug and Directions
Printed 2024-Oct-18
PROVIDER MUST VERIFY THE ACCURACY AND COMPLETENESS OF THIS PATIENT'S INFORMATION
PRIOR TO TREATMENT DECISIONS
Rash 2023-Jun-07 Clark Bonner
Anaphylaxis 2003-Aug-19 Clark Bonner
Status Prescriber Dispensed By
2024-Oct-15 RAMIPRIL 2.5 MG CAPSULE 1 Capsule(s) Once daily for 90 days Active Clark Bonner Silverwillow Family Practice
2024-Sep-03 MONTELUKAST 10 MG TABLET 1 Tablet(s) At bedtime for 100 Active Clark Bonner Silverwillow Family Practice
days
2024-Jul-22 BUDESONIDE-FORMOTEROL 200/6 MCG TURBUHALER 2 Puff(s) Active Clark Bonner Silverwillow Family Practice
Two times daily for 90 days
2024-Jun-02 ACETAMINOPHEN 500 MG TABLET 1 to 2 Tablet(s) Two times Active Clark Bonner Silverwillow Family Practice
daily for 90 days
2024-Jan-15 HYDROCHLOROTHIAZIDE 25 MG TABLET 1 Tablet(s) Once daily Active Clark Bonner Silverwillow Family Practice
for 90 days
2023-Jun-07 CETIRIZINE 10 MG TABLET 1 Tablet(s) Once daily as needed Active Clark Bonner Silverwillow Family Practice
2019-May-13 SALBUTAMOL 100 MCG INHALER 1 to 2 Puff(s) Every 4 hours as Active Clark Bonner Silverwillow Family Practice
needed
INACTIVE MEDICATIONS
Date Drug and Directions
Status Prescriber Dispensed By
2024-Jun-28 PREDNISONE 50 MG TABLET 1 Tablet(s) Once daily for 5 days Inactive Clark Bonner Silverwillow Family Practice
◀ ▶ 2024-Jun-28 DOXYCYCLINE 100 MG TABLET 1 Tablet(s) Two times daily for 7 Inactive Clark Bonner Silverwillow Family Practice ▼
days
2022-Feb-10 Advil
Inactive Clark Bonner Silverwillow Family Practice
2021-Mar-09 FLUTICASONE PROPIONATE 125 MCG INHALER 2 Puff(s) Two Inactive Clark Bonner Silverwillow Family Practice
times daily for 90 days
2009-Jul-31 FERROUS FUMARATE 300 MG TABLET 1 Tablet(s) Two times Inactive Clark Bonner Silverwillow Family Practice
daily for 90 days
2003-Aug-17 AMOXICILLIN 500 MG CAPSULE 1 Capsule(s) Three times daily Inactive Clark Bonner Silverwillow Family Practice
for 10 days
Silverwillow Family Practice
4246 97 Street, Suite # 201, EDMONTON, AB, T6E 5Z9
Phone (780) 434-6008 Fax (454) 545-4542
Submitting Provider
Clark Bonner