Item # 174-20662 Model # 20662
$29.00
per Pack
When you buy 8+
- $43.00
- Buy 2$37.00
- Buy 4$32.00
- Buy 8+$29.00
Your delivery dates will be verified at checkout
Lists all body systems on left side of form with check-off spaces for problem areas. Vital signs in top section. Printed in blue ink on white 24-lb. bond paper. Predrilled holes on side of form. 2-sided. Film-wrapped packages of 250. Size: 8-1/2x11".
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Product Information
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Form Type :
Clinical
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Format :
Examination Form
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Sheet Size :
8-1/2" x 11"
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Form Size :
8-1/2" x 11"
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Media Quantity :
250
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Binding Type :
Loose
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Paper Color :
White
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Number of Parts :
1
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Carbonless :
No
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# Up Per Sheet/Page :
1
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NCR Paper :
No
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Numbered :
No
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Holes Punched :
3
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Personalization :
No
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Security Features :
No
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Miscellaneous
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Brand Name :
Medical Arts Press
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Country of Origin :
USA
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Weight
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Weight :
3.03 lbs. per Pack
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