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> Petty Cash Receipt Book, Two-Part Carbonless, 5.5 x 11, 4/Page, 200 Forms
Petty Cash Receipt Book, Two-Part Carbonless, 5.5 x 11, 4/Page, 200 Forms
Item #:
TOP4109-ES
TOPS™ Petty Cash Receipt Book
- Spiralbound book keeps permanent record of cash disbursements.
- Space for date, amount, approval, account, and number.
- Six writing lines to state purpose of petty cash.
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Confidentially sign in your patients. Forms limit access to personal information as required by HIPAA. Patient signs in and waits to be called by name or number. Office staff removes numbered label strip with patient name and adheres it to patient chart to help improve record keeping. Once label strips have been removed, the patient information is now protected behind special backing paper. The sign-in form also provides confidential daily patient log. Forms numbered 1 - 23. Form Size: 8.5 x 11.63; Number of Columns: 6; Forms Per Page: 1; Number of Entry Lines: 23.
Forms
Copy Types
Two-Part Carbon
Finish
Label Stock
Form Quantity
125
Form Size
8.5 x 11.63
Forms Per Page
1
Global Product Type
Forms-Medical Admissions
Layout
One Form per Sheet
Number of Columns
6
Number of Entry Lines
23
Numbering
Preprinted Entry Lines
Numbering Color(s)
Black
Paper Color(s)
Blue
Post-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Principal Heading(s)
Any Changes Since Last Visit,Appointment With,Appt. Time,Arrival Time,Date,New Patient,Please Print Name
Print and Ruling Color(s)
Black
Sheet Size
8.5 x 11.63
Total Number of Entries per Book
2,875
Total Recycled Content Percent
0%
UPC
084371145317
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