Patient Name
{{ prescription.appointment.patient.user.name }}
Age / Gender
{% if prescription.appointment.patient.user.date_of_birth %}
{% set dob = prescription.appointment.patient.user.date_of_birth %}
{% set age = ((prescription.created_at.date() - dob).days / 365.25) | int %}{{ age }} Y
{% else %}—{% endif %}
/ {{ prescription.appointment.patient.user.gender | title if
prescription.appointment.patient.user.gender else 'N/A' }}
Date Issued
{{ prescription.created_at.strftime('%d %b %Y') }}
Rx ID
#{{
'%05d'|format(prescription.id) }}
{% if prescription.vitals_weight or prescription.vitals_bp or prescription.vitals_temp or
prescription.vitals_pulse %}
Vital Signs
{% if prescription.vitals_bp %}
{{ prescription.vitals_bp }}
mmHg
Blood Pressure
{% endif %}
{% if prescription.vitals_temp %}
{{ prescription.vitals_temp }}
°F
Temperature
{% endif %}
{% if prescription.vitals_weight %}
{{ prescription.vitals_weight }}
kg
Weight
{% endif %}
{% if prescription.vitals_pulse %}
{{ prescription.vitals_pulse }}
bpm
Pulse
{% endif %}
{% endif %}
{% if prescription.chief_complaints %}
Chief Complaints
{{ prescription.chief_complaints }}
{% endif %}
{% if prescription.diagnosis %}
Primary Diagnosis
Diagnosed Condition
{{ prescription.diagnosis }}
{% endif %}
{% if prescription.follow_up_date %}
Follow-Up Visit
{{ prescription.follow_up_date.strftime('%b') }}
{{ prescription.follow_up_date.strftime('%d') }}
{{ prescription.follow_up_date.strftime('%Y') }}
Scheduled Return Visit
{% if prescription.follow_up_notes %}
{{
prescription.follow_up_notes }}
{% endif %}
{% endif %}
℞
{% if prescription.medicines %}
Prescribed Medicines
{% for medicine in prescription.medicines | sort(attribute='order') %}
{{ loop.index }}
{{ medicine.medicine_name }}
{% if medicine.dosage %}{{
medicine.dosage }}{% endif %}
{% if medicine.frequency %}{{ medicine.frequency }}{% endif %}
{% if medicine.duration %}{{ medicine.duration }}{% endif %}
{% if medicine.instructions %}
{{ medicine.instructions }}
{% endif %}
{% endfor %}
{% endif %}
{% if prescription.tests %}
Recommended Lab Tests
{% for test in prescription.tests | sort(attribute='order') %}
{{ test.test_name }}
{% if test.instructions %}
{{
test.instructions }}
{% endif %}
{% endfor %}
{% endif %}
{% if prescription.advice %}
Doctor's Advice & Instructions
{{ prescription.advice }}
{% endif %}
{% if not prescription.medicines and not prescription.tests and not prescription.advice %}
No medications have been added to this prescription yet.
{% endif %}
{{ doctor_display }}
Digital Signature