Pharmacy Receipt Template
A drugstore counter receipt showing a prescription by Rx number alongside over-the-counter items, the way pharmacies protect patient privacy.
Dernière mise à jour:
CEDAR POINT PHARMACY
5 Clinic Way
Westbrook, ST 00000
(555) 398-8989
| 1 | Rx #77120 — 30 tablets | $12.50 |
| 1 | Cough Syrup 200ml | $7.99 |
| 1 | Hand Sanitizer | $2.99 |
Sous-total$23.48
Taxe (4%)$0.94
TOTAL$24.42
CARTEVISA ****4021
Pharmacist on duty: ext. 2.
WELLSPRING PHARMACY
12 Health Plaza
Mapleton, ST 00000
(555) 094-6600
| 1 | Rx #48211 — Generic | $14.00 |
| 1 | Vitamin D3 90ct | $9.49 |
| 2 | Adhesive Bandages | $6.50 |
Sous-total$29.99
Taxe (4%)$1.20
TOTAL$31.19
CARTEVISA ****4021
Ask our pharmacist about refills.
Reçu d'exemple — tous les noms d'entreprises sont fictifs.
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