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Clinical Slide - Prescription Example Mock Prescription Prescription should include: 14 14 • Diagnosis with ICD 10 code. • Sig: Automatic blood pressure device with cuff. Include directions. • If larger or small cuff indicated please sure to ensure include in prescription ie, Auto BP cuff with X large cuff. (Avg size cuff 9" to 17" in circumference.) Patient: Jane Doe Address: 444 Main Street, Kalamazoo, VT Phone:444-444-4444 Provider: NPI 333-333-333 Automatic blood pressure device with cuff Dx: Hypertension [include ICD:10] Sig: Take blood pressure daily and record in log Disp: 1 حلا

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