Dion Fire - Tailwind Nextjs Admin Dashboard Template

Write a Prescription

Dr. Walter White

MBBS, MD, MS (Reg No: 321456)Mobile No: +321 4567 5643

S. Arrowhead Court Branford9+1 444 266 5599

Select Date

Patient ID

Patient First Name

Patient Last Name

Patient Address

Temperature (Farenhite)

Blood Pressure

Medicine Name	Dosage	Duration

Advice

Upload Signature

Click to upload
you file here