D-625  Physicians Orders - Pharmacy

D-625 Physicians Orders - Pharmacy

Your Price: $64.00
Part Number:D-625
Quantity Pricing
Quantity
Price
  • 2
  • $53.37
  • 3
  • $46.60
  • 4
  • $39.93
  • 5 - 9
  • $37.07
  • 10+
  • $32.98
 8 1/2" x 11 1/2"  -  5 part carbonless form with a stub at the top with Canary NCR paper on all parts.  The patient ID carbonizes on all copies with space for four different orders that will each carbonize individually.  The physicians writes the first order on the Original Copy, which carbonizes on Order 1 (Part 2) only.  Order 1 is then removed from the set and sent directly to the Pharmacy - all other copies remain in the chart.  Subsequent orders (Order 2, 3, and 4) are handled the same way while the original remains in the chart for future documentation.

These are sold only in boxes of 200 forms each.

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