[[static_app_header.html]]
Welcome $patient_firstname $patient_lastname | Logout
{$error{
$error
}}

## My Prescription Profile

$profiles
[[static_footer.html]] <
>

#### $store_name

$welcome $patient $store

Drug Detail | Status
--- | ---
$profile

Order Refill
<
> <> <> <>

Pharmacy: $store_name, $store_address, $store_city

Pharmacy Phone: $store_phone

Allergies:$patient_allergies

Conditions:$patient_conditions

Patient Detail: $patient_firstname $patient_lastname, $patient_line1$patient_address1 $patient_line2, $patient_cityname$patient_city $patient_provincename$patient_prov $patient_postalcode$patient_postal

Order Refill
<> <>

Drug Info

Date: $profile_filldate

$profile_tradename $profile_drugstrength

$profile_genericname $profile_drugstrength

Rx#: $profile_rxnumber

$profile_doctor

$profile_instructions

Quantity: $profile_fillquantity

Repeats: $profile_repeats

Authorized: $profile_quantityauthorized

Remaining: $profile_quantityremaining

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