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8-1/2" x 11" Pediatric Patients Sign In, Top and Bottom Stubs, 2 pt. Carbonless Form (Lot of 250)

Item Number: CAR23-85113P

Pricing:

Price per
Lot of 250 Sheets
2+
Lots
5+
Lots
10+
Lots
20+
Lots
$211.08 $198.34$192.19$185.62$180.21
Savings6%8.9%12.1%14.6%
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Confidentially sign in your pediatric patients! Each patient completes the next available line and removes the number to the left of the name. Patients can then wait to be called by either their name or their number. (Lot of 250).
ASIN:B00E8WUSPS
Background Color:White
Brand:The Business Form Supplies Shop
Feature 1:HIPPA Compliant (HIPPA Privacy Rule, Section 164.502)
Feature 2:Second Sheet is a complete record of all patients seen that day
Feature 3:Option to call patients by name or number
Feature 4:Carbonless
Feature 5:Pt 1 - Pressure Sensitive EDP Perm Label with 23 face slits, Pt 2 - 24# White MOCR, Standard Black
Feature 6:A special back printing prevents writing from showing on the liner
Feature 7:Printing on the liner directs patients to sign the next line
Feature 8:250 Sheets / Lot
Carbonless:Yes
Color:White
Condition:New
Currency:USD
Pre-Printed:Yes
Package Height:11-5/8 in
Package Weight:5.00 LB
Package Width:8-1/2 in
Material:Paper
Country of Origin:USA
Manufacturer Part Number:CAR23-85113P
Number of Items:250
Paper Size:Letter in
Paper Type:Laser Paper
Paper Weight Sequence:24 lb
Perforation:Yes
Perforation Orientation:Vertical
Point Size / Basis Weight:24#
Sheet Length:11 in
Sheet Size:8-1/2 x 11 in
Sheet Width:8-1/2 in
Ships in:1 to 3 Business Days (Plus time in transit)
Size:8-1/2 x 11-5/8 in