NATIONAL TRANSPLANT FY16-Q4 (704)    ENCOUNTER FORM (357)

Name Value
NAME NATIONAL TRANSPLANT FY16-Q4
SIMPLEX/DUPLEX SIMPLEX
BRIEF DESCRIPTION National Transplant August 2016
TYPE OF USE OUTPATIENT ENCOUNTER FORM
COMPILED? NO
USE ICR? YES
TOOLKIT YES
RIGHT MARGIN 133
PAGE LENGTH 80
NUMBER OF PAGES 4
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