This website uses cookies to function correctly.
You may delete cookies at any time but doing so may result in some parts of the site not working correctly.

About your Prescription

When you get your prescription, it comes in two parts. One part you give in to the chemist, and the other part you keep and can use to repeat medicines.

The white side is the part you keep and if you want to repeat your prescription, then you tick the items that you want and bring it into the surgery.

Here is what the part you keep looks like, and what each part means:

CONFIDENTIAL
REF : 995571
The REF: number is your unique patient
computer number,which you can quote when ordering your repeat medication if you wish.
Miss Claire Patient
512 Mouse Hole
Stockton on Tees
TS19 0ZF
Your name and address
Items issued on 30/05/2013These items were issued on the date that the slip was
printed.

CAPTOPRIL tabs 25MG
Take one three times a day
168 tabs (2/0) Exp: 07/03/14 Prev: 54 days
(2/0) means that this item has been
issued twice.
The last issue of this item was 54 days ago.
This item can be re-ordered until the expiry date, which is
Exp: 07/03/14

CO-CODAMOL TABS 8/500
Take two tabs four times a day as required
Use for pain
100 tabs (1/1)
This is a new item, and can only be issued once
(1/1)
It is not a repeat prescription, and
must be reauthorised by your doctor.

Other repeat medicationThese are the rest of your repeat medication
items.

QUININE SULPHATE tabs 300mg
Take one at night
56 tabs Exp: 07/03/14 Prev: 66 days
This item canalso be re-ordered until the expiry date, which is
Exp: 07/03/14
However, it cannot be issued to you until you are near the end of
your tablets
– if you request the prescription too soon, it may not be issued –
there is usually about 10 days leeway.

NAPROXEN TABS 250MG
Take one twice daily
60 tabs (6/6) Prev: 54 days
This item mustbe reauthorised by your doctor before
further prescriptions are issued.
Your doctor may ask to see you for review of yourmedication before
issuing any more
prescriptions.


Dr C Saha
Queens Park Medical Centre
Farrer Street
Stockton on Tees
01642 618171

The doctor who issued this prescription.
This is normally your usual doctor.

TO ORDER A REPEAT PRESCRIPTION USING THIS COUNTERFOIL. Clearly Tick
ONLY the items that you require – Requests handed in will be ready after
2 working days

Watch for messages here!
Call 111 when you need medical help fast but it’s not a 999 emergencyNHS ChoicesThis site is brought to you by My Surgery Website