Briggs Healthcare Physicians Orders Four-Part Form - Physicians Orders NCR 4-Part Punched Form - 1265P
In Stock
$179.99
SKU 1265P
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Product Information: Physicians Orders NCR 4-Part Punched Form
Manufacturer Part # 1265P
Description
- Designed to leave the original form in the patient's chart
- Remove each copy without taking the actual form out of the chart
- Written orders are transferred only to the sheet directly under the original
- 22 lines per form provide ample writing room for each successive physician order
- Up to 3 orders can be written using this 4-part form
| HPIS Code | 999_140_20_0 |
| Latex Free | Yes |
| UNSPSC | 14111821 |
