UB-04 2-part NCR Billing Form

$80.17
Out of stock
Product Code :
MPSBRG-2203/2-R07
More Information
Color White
MPN 2203/2-R07
Brand Briggs Health Care
Packaging 1 per each
Size 8 In x 11In

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

Use for filing patient claims.
8 " x 11", 2-Part NCR paper,white paper both pages,red ink, wrapped in 250s.
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