# of Parts:
4" W x 5-1/2" H
PATTERSON OFFICE SUPPLIES
Two-Part Carbonless (second part yellow)
100 Sets/Pad; 5 Pads/Pkg
- State seal pantograph printed on front and back of each blank
- Serial number starting at 0001
- 2 Part – Both parts printed
- Formatted and printed per state requirements.
- State law requires all prescription orders to be faxed or mailed. Call 1-800-637-1140 for an order form.
- State law requires an adult signature upon delivery of all prescripiton blank orders. An additional charge may apply.
Auto Free Good
My Catalog (Rep)
MSDS / SDS
Schedule 2 and 2N
Schedule 3, 3N, 4 and 5
Prices in Green indicate discounted price.