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Problem List Form Lt-Blue

Our Price: $21.70
Item Number: CF16654
Problem List Form Lt-Blue
Form allows to create a master list of patient problems. Tracks onset diagnosis date, and resolved date. Assign each problem a number, and refer to that number in your progress notes. Printed both sides in light blue. 2 holes punched on top. 100 forms per package. Overall size 8-1/2" W x 11" H.

SKU: CF16654
Unit of Measure: PCKG
Color: Light-Blue
Quantity: 100/Pkg