US$ 22.00
SIZE: 9 1/2 inches x 7 inches (including the line holes on the right & left)
Size: 11 x 8/12"
SIZE: 5 2/3 inches x 8 1/2 inches
NIOSH Approval Number:TC-84A-6973
Examination Record DDS, Horizontal #20097 Contracts SIZE: 9 1/2 inches xRecord every detail of adult and primary dentition on this horizontal 2 sided form. Accurate charting and notes. Front features 1 32 numbering and a t lettering, with a summary area for patient history. Back includes space for listing services and fees. Printed on sturdy ledger stock. Size: 11 x 8 1 2"