Prompt
An outpatient medical prescription sheet from [a Grade 3A hospital], featuring printed form layout filled in with messy, illegible cursive doctor's handwriting. The form includes [realistic clinical diagnosis, prescribed drug names, and dosages], with a doctor's signature in blue ink and a circular red department stamp in the bottom right corner. Overhead flat-lay view, soft natural indoor lighting, detailed paper texture.
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[a Grade 3A hospital]symbol zastępczy