Census Report

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$70.40
QuantityPrice
1 – 4$70.40
5 – 9$61.50
10 – 14$52.70
15 +$43.60
SKU: CFS2-3/4
$70.40

Updated 2023

Used to inform all departments of any changes that affect the census status of a resident including:

  • -Admission
  • -Discharge
  • -Transfer
  • -Room Changes
  • -Leave of Absence & Expected Date of Return
  • -Death
  • -Comments


Download a sample today!

Size:  8 1/2" x 5 1/4"
Construction:  4-part carbonless snap set
Paper: white original, yellow, pink and green copies
Print:  black ink
Packaging: 100 per pack

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