Modern A4 Prescription Pad Design

I need a modern-looking prescription pad laid out on A4 that a doctor can print or send straight to the press. The page must carry all the usual sections—patient details, date, medication grid, signature line—while still feeling clean and contemporary... (Budget: ₹600 - ₹1500 INR, Jobs: Adobe Illustrator, Adobe InDesign, Branding, Brochure Design, Graphic Design, Illustrator, Logo Design, Print Design)