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

Directions: 1. Measure required amount of Simple Syrup.
2. QS to final volume with Nestle's Quik and mix well.
3. Transfer to final container and label.

Packaging:  Glass Bottle

Auxiliary Labels: Shake Well
  Store at Room Temperature

Storage/Expiry:Room Temperature: 6 months

Last Date Revised: 15-Dec-11

References:
  Recipe last updated November 2008.
SickKids Compounding Service [online recipes]. Toronto, ON: The Hospital for Sick Children. c1999 [current date]. Available from: http://www.sickkids.ca/Pharmacy/Compounding-Service/index.html

Completed Compound Check
Lot NoDate Prepared Expiry DateTechnicianPharmacist
   6-Dec-2021         


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