- Fill in the name of the medicine (药的名字,yào de míngzì),
- Circle when the medicine should be taken: morning (早上, zǎoshang) or evening (晚上, wǎnshàng)
- Note the number of times the medicine should be taken (几次, jǐ cì)
- Sign their "doctor" name (医生名字,yīshēng míngzì)
- Write in the date (日期,rìqí)
2. Learn to write some of the characters on the form:
- We talked about the character 医 (yī, medicine), how it is an "arrow" (失,shǐ) inside a "container" (匸,xǐ) because a regular task of early doctors in China was pulling arrows out of wounded soldiers' chests (read about it here).
Doctor, what is your name? Yīshēng nǐ jiào shénme míngzì? 医生,你叫什么名字?
When will she take her medicine? Tā shénme shíhòu chī yào? 他什么时候吃药?
What is today's date? Jīntiān shì jǐ yuè jǐ hào? 今天是几月几号?
These are just ideas to get you started. It's imaginary play, so let your imagination go play!