Recipe - Compounding Worksheet
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These recipes are intended for use by the pharmacy manufacturing departments only.
Chocolate Cherry Syrup    .
Lot No Expiry(mm/yyyy) Ingredients Master Formula
    Simple syrup        
    Cherry flavouring concentrate       
    Chocolate syrup      qs to 
Recipe Total Quantity:
Final Quantity Desired: mL

Directions: 1. Measure simple syrup into a graduated cylinder.
2. Add the cherry flavouring to the simple syrup.
3. QS to final volume with chocolate syrup. Stir well.
4. Transfer syrup mixture to bottle and label.

Packaging:  Plastic Bottle

Auxiliary Labels: Shake Well
  Store at Room Temperature

Storage/Expiry:Room Temperature: 6 months

Last Date Revised: 20-Aug-15

References:SickKids Compounding Service. Toronto, ON: The Hospital for Sick Children. Recipe last updated April 2007.

Completed Compound Check
Lot NoDate Prepared Expiry DateTechnicianPharmacist

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