Certification of Herb Medication 영문한약진단서 영문한약처방전 예시

Certification of Herb Medication

Name of Patient :                            

Sex : Male

Birth Date : May 3, 1999

Address : 777 Howard street, Teaneck, NJ 07666, USA

Nationality : USA

Impression : fatigue

Purpose : To tonify the physical health

Date of Issue : Dec. 22, 2022

I, hereby, certificate the herb medication above are prescribed in the following hospital for the patient.

Component of Herb-med

▶ Herb-med

RHIZOMA COPTIDIS / RHIZOMA ZINGIBERIS / RAMULUS CINNAMONI

RHIZOMA PINELLIAE / RADIX ET RHIZOMA GLYCYRRHIZAE

FRUCTUS JUJUBAE

O.M.D.

Signature 

Korean Medical Clinic

907, Jungang-daero, Danwon-gu, Ansan-si, Gyeonggi-do, Republic of Korea