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Item# 250-25

  • 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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Controlled Drug Administration Record Form Printing - Custom Printed Hospital Forms

The controlled drug administration record is used to meet strict regulations when administering the receipt and disbursement of controlled substances/drugs within the hospital. It is pre-printed with sections for the drug information, pharmacy receipt, charge ticket, and a lined journal with 24 rows to give additional details. We have this product in stock ready to be shipped.

USAGE

  • The management of controlled substances or drugs within a hospital
  • Records the receipt and distribution of controlled substances
  • Records charged amounts and charge codes
  • Used to record drug information such as drug name, dosage, dates, quantity, form, etc.

FEATURES

  • Carbon copy form
  • Holes punched for folder or file jacket
  • Pre-printed stock item

CUSTOMIZATION OPTIONS

We can create a customized version of this form. Email us your own unique design for a price quote. We print different colors, on larger paper sizes, multiple carbon copies, and shingled formats. We specialize in business form custom printing.

Size: 8.5 x 11
Format: Carbon Copies
3 Hole Punch on the left

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