Resident Inventory List-2 Pt Form, Carbonless

$96.32
In stock
Product Code :
MPSBRG-883/2
More Information
MPN 883/2
Brand Briggs Health Care
Packaging 100 per pack
Size 8 1/2In x 11In

Note : Image shown for reference purposes only. Actual product appearance may vary. Please read product description for full and accurate details.

This form allows for the recording of a residents personal belongings at the time of admission and upon discharge. Part 1 serves as the facility record. Part 2 has a horizontal perforation which allows you to provide the resident with the lower portion upon admission and the top portion upon discharge.
Size:  8 1/2" x 11", 
Paper:  2-part carbonless snap-out set, white original, green copy, 
Print:  Black ink, 
packaging:  100 per pack
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