Prescription Template
| Medication Name | Purpose | Dosage | Route | Frequency |
|---|---|---|---|---|
| Expectorant | Removes phlegm | 1 tablet | Oral | Every 4 hours |
| Paracetamol | For fever | 1 tablet | Oral | Every 4 hours |
| Anti-biotic | Bacterial infection | 500mg | Oral | Every 8 hours |
| Vitamin C | Immune system | 500mg | Oral | Once a day |
| Vitamin D | Immune System | 1 tablet | Oral | Once a day |
A prescription template is a document that contains information about medications a physician has ordered for a patient. Healthcare providers who are licensed to prescribe medications and develop treatment plans for their patients can use a prescription template. This document is useful for various tasks, including verifying prescriptions, documenting a treatment regimen, and maintaining health records.
This prescription PDF template includes fields for the prescription number, prescription date, patient information, any health conditions, prescribed medications, physician information, and the physician’s signature. The form attached to the template uses the Input Table element to show the name of each medication and the purpose of or reason for its use, as well as dosage and frequency information. The form also uses the Unique ID widget, which automatically provides a unique number for each prescription. You can use Jotform’s PDF Editor to easily customize the layout and change the color theme of the resulting PDF.
Simple Receipt Template
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A good Hotel Receipt displays the hotel information and the hotel services purchased by the customer. If you are managing a hotel, it is important to use a ready-made Hotel Receipt Template to enhance the check-out and payment process.This amazing Hotel Receipt Sample Template shows the information about the customer, the receipt number, check-in details, room information, payment details, cashier's signature, and customer's signature. The hotel services table consists of the room number, number of nights, price per night, and the total.This Hotel Payment Receipt Sample Template is using the Form Calculation widget to add the amount of each row in the hotel services table and get the total amount due. The receipt number is generated automatically by the Unique ID widget.
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Fillable Rent Receipt Template
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