PRESCRIPTION
Ref: D4U-RX-0424
Date: 19 Oct 2026
Patient
Sarah Ahmed
DOB: 21 Jul 1992 (age 34)
88 Queens Park Rd, Brighton
BN2 0GJ
07700 900789
Clinic
Seaside Skin — Brighton
Medical conditions / medication
Penicillin allergy.
| Rx | Product | Description | Qty |
|---|---|---|---|
| 1 | Bocouture 50 units | Masseter | 2 |
Derma4U Ltd · www.derma4u.co.uk · This prescription is valid for 28 days from the date of issue.