NATIONAL PROSTHETICS FY16-Q1 (519)    ENCOUNTER FORM (357)

Name Value
NAME NATIONAL PROSTHETICS FY16-Q1
SIMPLEX/DUPLEX DUPLEX,LONG-EDGE BINDING
BRIEF DESCRIPTION National Prosthetics F-T-F Visits September 2015
TYPE OF USE OUTPATIENT ENCOUNTER FORM
COMPILED? NO
USE ICR? YES
TOOLKIT YES
RIGHT MARGIN 133
PAGE LENGTH 80
NUMBER OF PAGES 6
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
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    SCANNABLE?:   YES, PAGE SCANNABLE
  • 2
    SCANNABLE?:   YES, PAGE SCANNABLE
  • 3
    SCANNABLE?:   YES, PAGE SCANNABLE
  • 2
    SCANNABLE?:   YES, PAGE SCANNABLE
  • 4
    SCANNABLE?:   YES, PAGE SCANNABLE
  • 5
    SCANNABLE?:   YES, PAGE SCANNABLE