PHARCARE 4 (LABORATORY)

SUMMARY OF PRESCRIPTIONS FOR INDIVIDUAL DEMONSTRATION

University of Santo Tomas Hospital
Espaa, Manila
Name:
Benjamin Perez
Date: August 31, 2014
Address: Novaliches, Quezon City
Age: 2 y/o
Wt./Ht.: 24 lbs.

Rx

Mix Nystatin powder 1:10 with the following:

Zinc oxide
Talc
Starch
Calcium carbonate

SET PHC-01
University of Santo Tomas Hospital
Espaa, Manila
Name:
Mary Jane Concepcion
Date: August 31, 2014
Address: 145 Vicente Cruz St. Samp.
Age: 5 y/o
Wt./Ht.: 35 lbs

Rx

Digoxin 250 mcg tablet

(Lanoxin)
Make 5 papers each containing 200 g digoxin.

equal quantities to give 20 g

Sig. Apply to area with each diaper change.

Sig. One paper once a day.

Beth Consolacion, M.D.
Lic. No. 2014P-A-01
PTR No. 721455
S2 No. ___________________

University of Santo Tomas Hospital

Espaa, Manila
Name:
Josephine Tuazon
Date: August 31, 2014
Address: Examiner St. QC
Age: 23 y/o
Wt./Ht.: 122 lbs.

Rx

Potassium bromide . . . . . . . . . . . . . . . . . .
Syrup aurantii . . . . . . . . . . . . . . . . . . . . . .
Aqua, q.s. ad . . . . . . . . . . . . . . . . . . . . . . .

2.67 g
4 mL
60 mL

Jonathan Hipolito, M.D.

Lic. No. 2014P-A-03
PTR No. 729055
S2 No. ___________________

University of Santo Tomas Hospital

Espaa, Manila
Name:
Michael Simeon
Date: August 31, 2014
Address: 87 P. Florentino St. Samp.
Age: 38 y/o
Wt./Ht.: 135 lbs

Rx
Zephiran solution

M. Dispense 30 mL.

Dispense 30 mL.

Sig. 1 tbsp t.i.d.

Sig. As directed
Sweet Ferrer, M.D.
Lic. No. 2014P-A-02
PTR No. 721489
S2 No. ___________________

ust-gccastro (082014)

1:750

Benjamin Lopez, M.D.

Lic. No. 2014P-A-04
PTR No. 701455
S2 No. ___________________

Page 1 of 5

PHARCARE 4 (LABORATORY)
SUMMARY OF PRESCRIPTIONS FOR INDIVIDUAL DEMONSTRATION
University of Santo Tomas Hospital
Espaa, Manila
Name: Alexander Corpuz
Date: Sept. 04, 2014
Address: 89 Agno St. QC
Age: 47 y/o
Wt./Ht.: 140 lbs.

Rx

SET PHC-01
University of Santo Tomas Hospital
Espaa, Manila
Name:
Evangeline Natividad
Date: Sept. 04, 2014
Address: Pasig City
Age: 27 y/o
Wt./Ht.: 129 lbs.

Rx

Propranolol HCl 4 mg/mL

Dispense 30 mL.
Sig. 1 mL p.o. t.i.d.

Name:
Jennifer Lim
Address: 78 P. Noval St. Samp.

Rx

Age:

16 y/o

Sodium bicarbonate . . . . . . . . . . . . . . . . .
Glycerol . . . . . . . . . . . . . . . . . . . . . . . . . . .
Freshly boiled and cooled water, q.s. ad . .

Date: Sept. 04, 2014

Wt./Ht.: 100 lbs.

500.0 g
3.0 mL
10.0 mL

M. ft. Otic solution.

Gabriel Macapagal, M.D.

Lic. No. 2014P-A-07
PTR No. 721495
S2 No. ___________________

University of Santo Tomas Hospital

Espaa, Manila
Name:
Veronica Saludez
Date: Sept. 04, 2014
Address: 55 P.Guevarra St. Manila
Age: 16 y/o
Wt./Ht.: 95 lbs.

Rx

KMnO4 solution 0.2% w/v

Dispense 30 mL.

Sig. Instill 1 drop a.u.

Sig. Apply to affected area t.i.d.

Dorothy Fitts, M.D.
Lic. No. 2014P-A-06
PTR No. 721423
S2 No. ___________________

ust-gccastro (082014)

0.6 g
3.0 mL
6.0 g
3.0 mL
60.0 mL

M. Dispense 30 mL.
Sig. Apply to affected area at bedtime.

Jose Gatchalian, M.D.

Lic. No. 2014P-A-05
PTR No. 721445
S2 No. ___________________

University of Santo Tomas Hospital

Espaa, Manila

Phenol . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Calamine preparation . . . . . . . . . . . . . . . .
Zinc oxide . . . . . . . . . . . . . . . . . . . . . . . . .
Glycerine . . . . . . . . . . . . . . . . . . . . . . . . .
Purified water, q.s. ad . . . . . . . . . . . . . . . . .

Simona Piedad, M.D.

Lic. No. 2014P-A-08
PTR No. 720455
S2 No. ___________________

Page 2 of 5

PHARCARE 4 (LABORATORY)
SUMMARY OF PRESCRIPTIONS FOR INDIVIDUAL DEMONSTRATION
University of Santo Tomas Hospital
Espaa, Manila
Name:
Cynthia Esparaz
Date: Sept. 15, 2014
Address: Makati City
Age: 27 y/o
Wt./Ht.: 116 lbs.

Rx

Chalk . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tragacanth . . . . . . . . . . . . . . . . . . . . . . . .
Conc. Cinnamon Water . . . . . . . . . . . . . .
Syrup . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Purified water, to make . . . . . . . . . . . . . . .

2g
200 mg
0.4 mL
10 mL
100 mL

SET PHC-01
University of Santo Tomas Hospital
Espaa, Manila
Name:
Celeste Buenaventura
Date: Sept. 15, 2014
Address: Sampaloc, Manila
Age: 38 y/o
Wt./Ht.: 122 lbs.

Rx

Zinc oxide . . . . . . . . . . . . . . . . . . . . . . . . .
Starch . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Purified talc . . . . . . . . . . . . . . . . . . . . . . . .
M.. ft. pulv.

Prepare mixture. Dispense 30 mL.

Sig. As directed
Betty Tuazon, M.D.
Lic. No. 2014P-A-11
PTR No. 721495
S2 No. ___________________

Sig. Use as directed.

Joshua Quizon, M.D.
Lic. No. 2014P-A-09
PTR No. 721433
S2 No. ___________________

University of Santo Tomas Hospital

Espaa, Manila
Name:
Catherine Yson
Date: Sept. 15, 2014
Address: 67 Ma. Clara St. QC
Age: 35 y/o
Wt./Ht.: 130 lbs.

Rx

Mineral oil . . . . . . . . . . . . . . . . . . . . . . . . .
Syrup . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Vanillin . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Purified water, q.s. ad . . . . . . . . . . . . . . . . .

50.0 mL
10. 0 mL
4.0 mg
100.0 mL

M. ft. emulsion.
Sig. One tbsp. q.i.d.

University of Santo Tomas Hospital

Espaa, Manila
Name:
Cristina Veloso
Date: Sept. 15, 2014
Address: 115 Bulusan St., QC
Age: 10 y/0
Wt./Ht.: 58 lbs.

Rx
Codeine phosphate . . . . . . . . . . . . . . . . .
Lactose, to make . . . . . . . . . . . . . . . . . . .

10 mg
200 mg

M. ft. powder no.5.

Sig. Take as directed.

Washington Cruz, M.D.

Lic. No. 2014P-A-10
PTR No. 721455
S2 No. ___________________

ust-gccastro (082014)

25 g
25 g
50 g

Simeon Calidad, M.D.

Lic. No. 2014P-A-12
PTR No. 721455
S2 No. ___________________

Page 3 of 5

PHARCARE 4 (LABORATORY)
SUMMARY OF PRESCRIPTIONS FOR INDIVIDUAL DEMONSTRATION
University of Santo Tomas Hospital
Espaa, Manila
Name:
Sylvia Santos
Date: Sept. 30, 2014
Address: Pasay City
Age: 27 y/o
Wt./Ht.: 110 lbs.

Rx

SET PHC-01
University of Santo Tomas Hospital
Espaa, Manila
Name:
Boyet Crisologo
Date: Sept. 30, 2014
Address: Crisostomo St., Manila
Age: 19 y/o
Wt./Ht.: 88 lbs.

Rx

Hydrochloric acid 2.5%

Calamine Lotion USP

Dispense 30 mL.

Dispense 30 mL.

Sig. Add one teaspoonful to 4 oz of fruit juice and sip through a straw. Take
with each meal.

Sig. Apply to poison ivy q4 prn.

Benedicta Mabini, M.D.

Lic. No. 2014P-A-13
PTR No. 721429
S2 No. ___________________

Olivia Gutierrez, M.D.

Lic. No. 2014P-A-15
PTR No. 721423
S2 No. ___________________

University of Santo Tomas Hospital

Espaa, Manila
Name:
Sylvester Punzalan
Date: Sept. 30, 2014
Address: Maria Clara St. QC
Age: 1 y/o
Wt./Ht.: 25 lbs.

University of Santo Tomas Hospital

Espaa, Manila
Name:
Cristine Velasquez
Date: Sept. 30, 2014
Address: Earnshaw, Sampaloc
Age: 32 y/o
Wt./Ht.: 100 lbs.

Rx

Zinc oxide
Calamine
Starch
White petrolatum, to make

Rx
aa

7.5 g
15 g
60 g

Sig. Apply after each diaper change prn.

10 m g
30 m g
300 mg

M. & ft. capsules no.5

Sig. Take as directed.

Jeremy Jose, M.D.

Lic. No. 2014P-A-14
PTR No. 721985
S2 No. ___________________

ust-gccastro (082014)

Morphine sulfate . . . . . . . . . . . . . . . . . . . .
Dextromethorphan hydrobromide . . . . . .
Lactose . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Corazon Capistrano, M.D.

Lic. No. 2014P-A-16
PTR No. 723955
S2 No. ___________________

Page 4 of 5

PHARCARE 4 (LABORATORY)
SUMMARY OF PRESCRIPTIONS FOR INDIVIDUAL DEMONSTRATION

SET PHC-01

University of Santo Tomas Hospital

Espaa, Manila
Name:
Violet Tan
Address: Maceda St. Sampaloc, Mla

Rx

Age:

15 y/o

Sodium chloride . . . . . . . . . . . . . . . . . . . .
Zinc chloride . . . . . . . . . . . . . . . . . . . . . . .
Menthol . . . . . . . . . . . . . . . . . . . . . . . . . . .
Alcohol . . . . . . . . . . . . . . . . . . . . . . . . . . .
Glycerin . . . . . . . . . . . . . . . . . . . . . . . . . .
Cinnamon oil . . . . . . . . . . . . . . . . . . . . . .
Purified water, q.s.ad . . . . . . . . . . . . . . . .
M. ft. mouthwash. Dispense 30 mL.
Sig. Use as directed.

University of Santo Tomas Hospital

Espaa, Manila
Date: Sept. 30, 2014
Wt./Ht.: 85 lbs.

2.5 g
0.5 g
0.05 g
9.6 g
10 g
0.1 g
100 mL

Name:
Clarissa Uy
Address: 189 Chico St., QC

Rx

Age:

Rx

Stearic acid . . . . . . . . . . . . . . . . . . . . . . . . 4 g
.Lanolin . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
Triethanolamine . . . . . . . . . . . . . . . . . . . .
1g
Mineral oil . . . . . . . . . . . . . . . . . . . . . . . . . 6 g
Purified water, to make . . . . . . . . . . . . . . . 100 mL
Make lotion. Dispense 30 mL.
Sig. Apply on dry areas of the skin as often as necessary.
Cyrus Santiago, M.D.
Lic. No. 2014P-A-18
PTR No. 721445
S2 No. ___________________

ust-gccastro (082014)

Date: Sept. 30, 2014

Wt./Ht.: 123 lbs.

Kaolin . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 g
Zinc stearte . . . . . . . . . . . . . . . . . . . . . . . . 2 g
Zinc oxide . . . . . . . . . . . . . . . . . . . . . . . . . 2 g
Magnesium carbonate . . . . . . . . . . . . . . . . 10 g
Menthol . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.05 g
Talc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 g
M. ft. pulv. Dispense 15 g.
Sig. Sprinkle on affected area in the morning and at night.
L isa Bartolome, M.D.
Lic. No. 2014P-A-19
PTR No. 721420
S2 No. ___________________

Benedict Sy, M.D.

Lic. No. 2014P-A-17
PTR No. 721490
S2 No. ___________________

University of Santo Tomas Hospital

Espaa, Manila
Name:
Bianca Hizon
Date: Sept. 30, 2014
Address: 89 Lanzones St. QC
Age: 56 y/o
Wt./Ht.: 155 lbs.

25 y/o

University of Santo Tomas Hospital

Espaa, Manila
Name:
Joanne Vasquez
Date: Sept. 30, 2014
Address: Masangkay St. Manila
Age: 45 y/o
Wt./Ht.: 134 lbs.

Rx

Phenol . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.Zinc oxide . . . . . . . . .. . . . . . . . . . . . . . . .
70% ethanol
Calcium hydroxide solution

200 mg
12 g
aa q.s. 100 mL

Mix and make a mixture. Dispense 30 mL.

Sig. Use as directed.
Jill Bagano, M.D.
Lic. No. 2014P-A-20
PTR No. 721478
S2 No. ___________________

Page 5 of 5