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(per package)2Pseudofed with Tripolidine, (Compare with Actifed)* 1!Pseudofed, (Compare with Sudafed) (Tolnaftate cream (Compare with Tinactin) '9Cold Pack (Pseudofed, Chlorpeniramine, Lozenges, Tylenol)  AlesseGentamycin Opthalmic SolutionCortisporin OpthalmicHep B Sur AB QuantASPIRINBicillinDNKA(not placed at SHC)SSNDATE:NAME: Bactim DS  #20 #6 Zovirax (Acyclovir) #40#50 Alamag Plus (Compares to Maalox)Injection: BenadrylZovirax (Acyclovir) Ointment Drug Screen Thin Prep PapThin Prep w/Women's Health ExamDr Priest's Lab packageI agree to payNext Appointment %Imobilizer, Knee (refundable deposit)Crutches, (refundable deposit)Ortho Novum 777 Ortho EVRAInjection: Kenalog Wound Culture"Hcg, Screen Quan (Serum Pregnancy)Thyroid Panel (T3, T4)LABBOrder Thyroid Panel and TSH **( ck TSU panel and TSH on lab sheet) TSH **TSU Panel, T3 and T4 ** Ortho TriCyclen Lo Thin Prep ReflexINJECTIONSHerpes IGG & IGMRemoval of LesionI&D Lesion w/packing I&D Lesion Dressing 4x4Injection: Rocephin 250 mg.Injection: Rocephin 500 mg.Misc. Charges:Dept# 8 Signature$not currently enrolled (summer only)# 30#14#20Mortrin Ibuprofen 800 mg #20 #30#80Doxycycline  #10 Rubella IGG Thin Prep PAPGroup INJECTIONSNoQtyExt4Chlorpheniramine Maleate (Compare to Chlor-Trimeton)9Cold Pack (Pseudofed, Chlorpeniramine, Lozenges, Tylenol)%Dimenhydrinate (Compare to Dramamine)%Diphenhydramine (Compare to Benadryl)7Guafenisin, Dextromethorphan (Compare to Robitussin DM)Ibuprofen, (Compare to Advil)"Loperamide (Compare to Imodium AD)2Pseudofed with Tripolidine, (Compare with Actifed)!Pseudofed, (Compare with Sudafed)(Tolnaftate cream (Compare with Tinactin)Mortrin Ibuprofen 800 mg #20Ortho TriCyclen LoNurse's Clinic Physical Exam ProceduresMedical Suppllies Injections LaboratoryAmoxicillin #30 Bactim DS #6 Bactim DS #20 Cipro #10MS Aid (per package)Doxycycline #14EES #30 Flagyl #14Gentamycin Opthalmic Solution Keflex #20 Naproxen #30Penicillin VK #20 Robaxin #20Tetracycline #80Zovirax (Acyclovir) #40Zovirax (Acyclovir) #50"suture removal (not place at SHC) Nurse's Clinic DNKASortCategory5 5Y~67n78fk88@u9*::;(<<=>>K ? 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