| Product No. # | 1045256 |
| Manufacturer # | MC8UPFORM |
| Manufacturer | RR Donnelley |
| Country of Origin | United States |
| Application | Paper Form |
| Shipping Width | 9 |
| Shipping Height | 7 |
| Shipping Depth | 11 |
| Dimension UOM | IC |
| Shipping Weight | 14.5 |
| Weight UOM | LB |
| QTY_Per_Sell | 1000 |
| Simply_Medical_Category | Forms |
| Supply_Manager_Category | Forms |
| Supply_Manager_Hierarchy | Nurse's Station and Office Supplies>Forms>Paper Form |
| Legend_Code | No |
| Stock_Status | Stocked |
| Velocity | Phase Out |
| Country of Origin | United States |
| Ready to Sell | Ready to sell |