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Certification of Herb Medication 영문한약진단서 영문한약처방전 예시

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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

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