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FRONT / BACK view	Product Code: 3238-2

Description   Intake & Output # 3238-2 Features Dimensions: 4.25" x 11" Color: White 2 Sides Different Related Items Interfacility Transfer Report. 2 part NCR # 3211 Social Service Memo # HER 012 Physicians Orders - 3 Part NCR # 637 Housekeeping Checklist # 3836 Post Discharge Plan of Care #3808 - F NCR Evacuation Tag #3861 Utilization - Determination Of Continued Stay #3734 NCR Notice of Transfer / Discharge # 2703

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