Piedmont Medical Center
Name:
Ultram 50 mg
SIG: One Tablet PO q 4 - 6 Hours PRN pain.
DISP: #30
REFILLS: #(0)
___________________ ___________________
No substitution Substitution permitted
date 09/10/2005
_KAMRAN BORHANIAN, MD Office: 324-5858 pager: 328-4078
DEA# BB1381374