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THE LAB SURGERY PRESCRIPTION

3 Akoranga Drive, Northcote 0627

09-418 1230 Ext 1

Patient Information

Date of Birth
Month
Day
Year

Prescription Medication Details

Toxins (Neuromodulators)
Bio-Boosters
Dermal Fillers
PDO Threads
Post Operative Medicine
Peri-Operative Medicine
Medicines

Prescriber Details

Processed/Administered
RN ERAE KIM
MPS SEUNG LEE
MPS JUNG LEE

Electronically verified script, exemption for signature

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