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Physicians Orders NCR 4-Part Punched Form

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$136.80
SKU: 1265P
$136.80

Uniquely designed to allow you to remove copies without taking the actual form out of the patient's chart. After the physician writes an order, Parts 2 and 3 are removed as a set, then separated for distribution to Nursing and Pharmacy. Pharmacy and Nursing copies are cut below the stub allowing quick removal while the top sheet stays in the chart. A backing sheet (Part 4) holds all parts together. Available with 5-hole top punched (1265P) or non-punched (1265).

8 1/2" x 11" (top and back sheet). Detached copies: 8 1/2" x 3", white and yellow carbonless paper, blue ink, packaged in 100s.

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