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Item# NC-25

  • Size: 8" x 11"
  • Min/QTY: 100
  • Price: $513.80
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Cost:
$513.80
Product Cost:
$513.80

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Drug Administration Record Form Printing

Manage the receipt and disbursement drugs/medication with this pre-printed narcotic control form. It is printed with blank rows for you to write information related to the drugs/medication and the patient. You have more flexibility to write information because there are no pre-listed drugs on the form. There are 25 numbered charged tickets that can be torn off for recording each dosage of the drug. The form also has a pharmacy receipt with a corresponding number.

USAGE

  • List the details of 25 dosages of drugs related to the patient
  • Used to write up the pharmacy receipt
  • Summarises or gives a journal of the patient and the drugs administered
  • Used to record drug information such as drug name, dosage, dates, quantity, form, etc.

FEATURES

  • 3 pre-printed carbon copies
  • 3 holes punched for folder or file jacket
  • Pre-printed stock item
  • Green / White / Canary paper color sequence
  • Blank lined format
  • Shingled, numbered, and perforated

CUSTOMIZATION OPTIONS

We design and print customized business forms to fit your specific needs. Allow us to create a customized drug administration record form that is unique and specifically related to your needs. We can customize and print a format to include the specific list of drugs to be accounted for.

Size: 8.5 x 11
Format: 3 Part Carbon Copies
Quantity: 100 per box/pack
3 Hole Punch on the left

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