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Patient

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Data Matrix XML

<xml>
 
    <sc id="0018412101261024058" ft="HS21" t="2026-01-21" />
 
    <pa l="Allen" m="L" f="Paul" s="Mr" h="1212121" b="1984-12-12" x="10"
        a="Belfast, Northern Ireland" pc="BT88FJ" />
 
    <pb i="1841" d="Dr M Bell" n="Ardmore Medical Centre" pi="Z00159"
        a="Ardmore Medical Centre, 485 Ormeau Rd, Belfast, Antrim" pc="BT73GR" />
 
    <dd d="Prednisolone 5mg tablets" q="14" sq="428673006"
        do="2.5MG ALTERNATING WITH 5MG AS PART OF REDUCING REGIMEN - OPTHAMOLOGY REVIEWED NOV 2024 Instalments: weekly dispensing"
        dm="42087311000001104" u="tablet" />
 
    <dd d="Sertraline 100mg tablets" q="56" sq="428673006"
        do="TAKE TWO (200MG) DAILY. RVD JAN 25 - for specialist review Jan 2026"
        dm="39704011000001103" u="tablet" />
 
    <dd d="Solifenacin 10mg tablets" q="28" sq="428673006"
        do="1 TABLET ONCE A DAY."
        dm="42042811000001100" u="tablet" />
 
</xml>

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18419681

HS21

Northern Ireland Health Service

Age

41y

DOB

12/12/1984

Pharmacy stamp

Name (including forename) and address

Mr Paul L Allen

Belfast, Northern Ireland

BT88FJ

No. of days treatment

H+C No.

1212121

Code numbers

NON-MEDICAL PRESCRIBER

Prednisolone 5mg tablets

2.5MG ALTERNATING WITH 5MG AS PART OF REDUCING REGIMEN - OPTHAMOLOGY REVIEWED NOV 2024 Instalments: weekly dispensing

14 tablet

Sertraline 100mg tablets

TAKE TWO (200MG) DAILY. RVD JAN 25 - for specialist review Jan 2026

56 tablet

Solifenacin 10mg tablets

1 TABLET ONCE A DAY.

28 tablet

*************************************************

01104

01103

01100

0018412101261024058

Signature of Prescriber

M Bell

Date

21/01/2026

Dr M Bell

Ardmore Medical Centre

Ardmore Medical Centre, 485 Ormeau Rd, Belfast, Antrim

Belfast BT73GR

Tel: 028 9074 3184

PATIENTS - please read the notes overleaf

184107550792185

Form Number