re: Perry, Evelyn C.
    161 Walnut Street
    Somerville MA 02145
    Date of Birth: 11/05/1930
    Patient ID: 026121202D
    reference no: 000001969528274

CVS Caremark
Fax: 1-866-884-9475

For the above baptioned patient, please provide
pilocarpine ophthalmic solution 2%, 15 ml
instill 1 gtt OU q.i.d.

This medication is required to control the patient's
open angle glaucoma, from which she may become blind,
if it is not successfully treated.




Ernst J. Meyer, MD