留学英文处方的要求通常遵循以下格式：

```

Prescription

Patient Name: [患者姓名]

Date: [开具日期]

Medication:

1. [药物名称] - [用法与剂量]

2. [药物名称] - [用法与剂量]

3. [药物名称] - [用法与剂量]

Instructions:

Take [药物名称] orally/externally as prescribed.

Take [药物名称] before/after meals.

Take [药物名称] with food/water.

Apply [药物名称] to the affected area.

Note: [特殊说明或警告]

```

请根据实际情况填写相应的信息，如患者姓名、药物名称、用法与剂量等。