Discharge Instructions Form 1255B
SKU
MPSBRG-1255B
In stock
| MPN | 1255B |
|---|---|
| Packaging | 1 per each |
| Size | 8 1/2In x 11In, 8 1/2In x 4 3/4In |
$175.87
Note : Image shown for reference purposes only. Actual product appearance may vary. Please read product description for full and accurate details
This 2 part carbon-interleaved form features sections for Patient Condition Upon Discharge and Patient instructions. Part 2, the patient copy, includes the patient instruction portion only.
8 1/2" x 11" original, 8 1/2" x 4 3/4" copy, black ink, packaged in 500s.
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