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	Product Code: 3845

Description   Daily Census Report #3845 Features Dimensions: 8.5" x 11" Color: White 1 Side Related Items Admission & Discharge Summary - 2 Part NCR w/Card # 746 Insurance Claim Form # UB 04 Office Fund Voucher Envelope # 1171 Weight Record #3855 Docu Clips #UCP70M I.V Medication Sheet # 2356 Resident's Clothing & Possessions - 2 Part NCR # 748 Baseline Care Plan Summary # 2702

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