NATL HOSP/PALL INPT FY16-Q3 (626) ENCOUNTER FORM (357)

Name	Value
NAME	NATL HOSP/PALL INPT FY16-Q3
SIMPLEX/DUPLEX	DUPLEX,SHORT-EDGE BINDING
BRIEF DESCRIPTION	NATIONAL INPATIENT HOSPICE AND PALLIATIVE CARE April 2016
TYPE OF USE	OUTPATIENT ENCOUNTER FORM
COMPILED?	NO
USE ICR?	YES
TOOLKIT	YES
RIGHT MARGIN	133
PAGE LENGTH	80
NUMBER OF PAGES	3
SCANNED/MANUAL DATA ENTRY	YES
PAPER SIZE	LETTER (8 1/2 x 11)
ORIENTATION	PORTRAIT
TEXT SIZE	133 COLUMNS x 80 LINES
VERSION	3