Prescription docket. Pink paper, printed in black to be filled out with details. Details not filled out but present on a white paper sticker label, printed at bottom in green "Declan Hickey M.P.S.I./ St. John's Square, Limerick. Ph. 41391 (Home 28835) [a green cross]". Details on label computer printed; in name of Lenore Walsh, from Dr. Pat Murphy. label stuck at centre of pink docket, and rubber stamped twice with Hickeys stamp. The pink sheet has two perforations by the upper corners.