Prescription 111117
Codeine SO4 is a controlled substance. Has the prescriber been identified properly?
Yes. Explain your answer. In addition to signature and branch of service, the
physician's printed name and Social Security Account Number on the prescription.
This signa is best translated to read: Take 1 tablet by mouth every 6 hours as needed
for pain.
This signa is best translated to read: _______________________________________
_____________________________________________________________________
MD0801
1-42