NATIONAL PROSTHETIC (15)    ENCOUNTER FORM (357)

Name Value
NAME NATIONAL PROSTHETIC
SIMPLEX/DUPLEX DUPLEX,SHORT-EDGE BINDING
BRIEF DESCRIPTION National Prosthetic Form 11/2002
TYPE OF USE OUTPATIENT ENCOUNTER FORM
COMPILED? NO
TOOLKIT YES
RIGHT MARGIN 133
PAGE LENGTH 80
NUMBER OF PAGES 1
SCANNED/MANUAL DATA ENTRY YES
PAPER SIZE LETTER (8 1/2 x 11)
ORIENTATION PORTRAIT
TEXT SIZE 133 COLUMNS x 80 LINES
VERSION 3