|
Testosterone
|
MA Administering
|
|
Dose given today
|
Site administered
|
|
Lot Number
|
Expiration Date
|
|
Vitamin Injection
|
|
|
Lipo-B/Skinny Shot
|
Site administered
|
|
Lot Number
|
Expiration Date
|
|
Tri-Amino
|
Site administered
|
|
Lot Number
|
Expiration Date
|
|
B12
|
Site administered
|
|
Lot Number
|
Expiration Date
|
|
Tolerated procedure well.
|
|
|
Next Labs Due
|
Date labs due
|
|
Previous blood draw was
|
Date of Last blood draw
|
|
Date of Last medication update
|
Last day of period
|
|
Date of Allergy Testing
|
Date of Inbody
|
|
Date of ANS
|
Medication Refills Needed
|
