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Physicians Orders NCR 4-Part Punched Form

SKU
MPSBRG-1265P
In stock
More Information
MPN 1265P
Size 8 1/2
$195.65

    Note : Image shown for reference purposes only. Actual product appearance may vary. Please read product description for full and accurate details

    Briggs Form 1265 is uniquely designed to allow you to remove copies without taking the actual form out of the patients chart. After the physician writes an order, Parts 2 and 3 are removed as a set, then separated for distribution to Nursing and Pharmacy. Pharmacy and Nursing copies are cut below the stub allowing quick removal while the top sheet stays in the chart. A backing sheet (Part 4) holds all parts together. Available with 5-hole top punched (1265P) or non-punched (1265).

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