NATIONAL URGENT CARE FY16-Q3 (656)    ENCOUNTER FORM (357)

Name Value
NAME NATIONAL URGENT CARE FY16-Q3
SIMPLEX/DUPLEX DUPLEX,SHORT-EDGE BINDING
BRIEF DESCRIPTION NATIONAL URGENT CARE March 2016
TYPE OF USE OUTPATIENT ENCOUNTER FORM
COMPILED? NO
USE ICR? NO
TOOLKIT YES
RIGHT MARGIN 133
PAGE LENGTH 80
NUMBER OF PAGES 31
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