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Patients Daily Census Form

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$24.30
QuantityPrice
1 – 4$24.30
5 – 9$21.20
10 – 14$18.40
15 +$15.10
SKU: 3339
$24.30
Record daily census on Briggs Form 3339. Allows for 37 patient entries.

Download a sample today!
  • 11 x 8 1/2 
  • yellow paper 
  • black ink 
  • printed one side 
  • padded in 100s

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