Clinic & doctor

Patient

Medicines

Write the generic name. A brand is optional. What does 1-0-1 mean? This page does not turn shorthand into a dosing schedule.

Advice & follow-up

Print-ready A4. In the print dialog, choose Save as PDF to download a file, or a printer for paper. Sign the printed copy yourself.

Preview

Doctor name
Patient: —
℞
  1. Add a medicine to see it here
Signature & stamp

Blank format from Medabha. Not a signed prescription. Sign it yourself if you issue it.

How to use this prescription template

The sheet on this page is a format, not a prescription. Fill it in, read the preview, then print it or save a PDF. Signing, and deciding whether a medicine may be prescribed, happens outside this tool.

  1. Enter the doctor’s details. Name, qualifications, registration number and the council that issued it, then the clinic name, address and phone. The registration number is its own field so it prints on its own, not buried in a qualifications line.
  2. Enter the patient’s details. Name, age and sex, and the date. Address and weight are optional. Weight is there for doses that depend on it, especially in children.
  3. Add each medicine. Put the generic name and strength in the first box, and a brand only if you want one. Frequency, duration and timing stay separate so the printed line is readable. Shorthand such as 1-0-1 is familiar in many Indian clinics, but it is not one national standard. The prescription abbreviations page explains the common codes. This template will not convert shorthand into a schedule for you.
  4. Add advice and follow-up, then read the preview before you print. On a phone the preview sits under the fields.
  5. Print or save a PDF. The page is laid out for A4. In the print dialog, choose Save as PDF for a file, or a printer for paper. Sign and stamp the printed copy yourself. A file from this page is not a signed prescription.
  6. Clear the fields before the next patient. Download blank template prints empty lines if you want a pad to fill by hand, and it does not wipe what you have already typed.

The National Medical Commission’s 2023 professional-conduct regulations, which included a generic-name rule, were published and then held in abeyance. This page does not treat generic-only prescribing as a current requirement. The generic-name field is there because it is useful, not because this tool is enforcing a rule.

Sources

This page is general information about a blank format. It is not a clinical review of any prescription, and it is not legal advice.

Frequently asked questions

Is this a legally valid prescription?

No. This tool creates a blank format only. A valid prescription has to be completed and issued by a registered medical practitioner, and it has to follow the professional and drug rules that apply to that prescriber and that medicine. Those rules are not the same for every drug. Rule 65(10) of the Drugs Rules, 1945, for example, describes a written, signed and dated prescription that names the patient and states the quantity and dose. This page does not check any of that. The NMC and CDSCO sources are linked below.

Does it store or upload what I type?

No. The entries stay in your browser. They are not sent to Medabha and are not stored. A visit to this page is counted, the same way as other public pages. Closing the tab clears what you typed, unless you printed it or saved a PDF on your device.

Can I prescribe Schedule H, H1 or X drugs with this?

This template does not decide whether a medicine can be prescribed, dispensed or repeated. Schedule H, H1, X and other restricted medicines have extra rules for how the prescription is written and how the pharmacy records the supply. The prescriber and the dispenser have to follow the current Drugs Rules. This page does not look up the schedule of anything you type.

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This is a blank format, not a signed prescription. What you type stays in your browser and is not sent to or stored on our servers. A valid prescription has to be completed and issued by a registered medical practitioner under the rules that apply to that practice and that medicine. This page does not check those rules.