Question: Topical Gel For Skin Laceration Michael Bowman, M.D. Rx# 01 500 Hollywood Blvd. Atlanta, GA, 30330 Phone:(678)234-5555 Patient Name: April Nelson Date: 05/08/2011 Address: 625 New Peachtree Rd, Suwanee, GA 30024_Phone: 678-9999 Rx Lidocaine HCl Epinephrine HCl Tetracaine HCl Sodium Chloride Methyl Paraben Methylcellulose 1500 Cps Purified Water As Ad …

Topical Gel for Skin Laceration Michael Bowman, M.D. Rx# 01 500 Hollywood Blvd. Atlanta, GA, 30330 Phone:(678)234-5555 Patient Name: April Nelson Date: 05/08/2011 Address: 625 New Peachtree Rd, Suwanee, GA 30024_Phone: 678-9999 Rx Lidocaine HCl Epinephrine HCl Tetracaine HCl Sodium Chloride Methyl paraben Methylcellulose 1500 cps Purified water as ad 4% 0.05% 1% 0.9% 0.4% 1% 100 ml Sig: Apply to affected areas ut dict Dispense as written Prescriber Signature X Refills: No refill Calculations : g Lidocaine HCl Epinephrine HCl Tetracaine HCl Sodium Chloride Methyl paraben Methylcellulose g 9 g g