Categories: Clinical Forms : Clinical Forms Miscellaneous
0292557

Design Your Own 2-Part Form With Wrap Cover, 5-1/2" x 9" (overall, 5-1/2" x 8-1/2" (detached) 50 Sets/Book; 20 Books/Pkg

Patterson Office Supplies
Patterson Item #: 029-2557
Mfg Item #: VJO-92557-PAT3
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**To receive the exact form shown, give number in image caption to your Patterson Office Supplies representative. A design charge may be required on some forms

Specifications

# of Parts:
2 part
Dimensions:
5-1/2" x 9" (overall)
Ink Color:
Black
Logo:
Y
Manufacturer Name:
PATTERSON OFFICE SUPPLIES
Material:
Two-Part Carbonless Stock
Package Quantity:
50 Sets/Book; 20 Books/Pkg
Product Color:
White/Yellow

Legend

Promotion
Auto Free Good
My Catalog
My Catalog (Rep)
On Formulary
On Contract
Prescription
Hazmat-Chargeable
Hazmat-No Charge
MSDS / SDS
Schedule 2 and 2N
Schedule 3, 3N, 4 and 5
List 1
No Freeze
Prices in Green indicate discounted price.