nister the following medication(s): 76a cited? _. _ Drug: la/ Dose: —....... Time: 1540 6.9E Date _ EAST SUBURBAN MEDICAL ASSOCIATES, INC. PEDIATRICS 3520 LAKETON ROAD PITTSEURGR PA 15235 (414 3714414 This is to certify that M.D 40 UNCOLN WAY NCRTH HUNTINGDON, PA 15642 (412) 864-7712 CERTI