AMBULATORY SURGERY SAMPLE V2.1 (4) ENCOUNTER FORM (357)

Name	Value
NAME	AMBULATORY SURGERY SAMPLE V2.1
SIMPLEX/DUPLEX	DUPLEX,SHORT-EDGE BINDING
BRIEF DESCRIPTION	scannable form for ambulatory surgery
TYPE OF USE	OUTPATIENT ENCOUNTER FORM
COMPILED?	NO
USE ICR?	YES
TOOLKIT	YES
RIGHT MARGIN	133
PAGE LENGTH	80
NUMBER OF PAGES	2
SCANNED/MANUAL DATA ENTRY	YES
PAPER SIZE	LETTER (8 1/2 x 11)
ORIENTATION	PORTRAIT
TEXT SIZE	133 COLUMNS x 80 LINES
VERSION	2.1
PAGE INFORMATION	1 SCANNABLE?: YES, PAGE SCANNABLE 2 SCANNABLE?: YES, PAGE SCANNABLE