Physician's Order Sheets DPO3
Usage: Allows three days of orders. Physician writes first day's orders. Part one is lifted from the bottom to allow removal of Parts 2 & 3 at the first perforation. Parts 2 & 3 are glued at left and perforated to form three 8 ½ x 3" sets, which can be easily removed as a set and separated for distribution to Nursing and Pharmacy. Process repeated for second and third day's orders.
Base Specifications:
Size: Overall 8 ½ x 11 (Parts 1 & 4)
8 ½ x 9 ½ (Parts 2 & 3)
Paper: Part 1: 15# White CB
Part 2: 14# Canary CFB
Part 3: 15# White CF
Part 4: 15# White Bond
Ink: Reflex Blue
Punching: Three 5/16" holes Part 1 only (For Viewing Number of Orders)
Gluing: Parts 1 & 4: Top (Line glue)
Parts 2, 3 & 4: Bottom (Line glue)
Parts 2 & 3: Left (Cross-web glue)
Other: Parts 2 & 3 have 2 additional horizontal performations
Special Design Features:
Two copies of each day's orders: the special glue feature allows Pts. 2 & 3 to form three individual 2-part (8 ½ x 3) sets – to be distributed (1) to Nursing without delay for transcribing, and (2) to Pharmacy.
Size 8 ½ x 11 for ease in chart and medical records filing.
No Carbon Handling.
1000 Per Case
Discounts available for large quantities.
Contract pricing available. Call for details!