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Laxative and BM Record Form

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$12.75
QuantityPrice
1 – 4$12.75
5 – 9$12.00
10 – 14$10.15
15 +$7.25
SKU: 1011B
Record the use of laxatives and residents bowel movements for a period of at least one week. Youmay be able to document two weeks depending on the number of residents.
8 1/2" x 11" white paper, blue ink, printed two sides same, padded in 100s

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