Items - SIQ Form,Medical Case Sheet,IAFM1302 Form,Hosp Admission Slip,Hosp Discharge Slip,Intake Output Chart,Clinical Chart,Injury Report,Medical Certificate AFMSF93
| Item Number | Item Title | Item Description | Item Quantity | Unit of Measure | Consignee ID | Delivery Period (In number of days) |
|---|---|---|---|---|---|---|
| 1 | SIQ Form | SIQ Form | 10 | pieces | qm@311fh | 30 |
| 2 | Medical Case Sheet | Medical Case Sheet | 40 | pieces | qm@311fh | 30 |
| 3 | IAFM1302 Form | IAFM1302 Form | 5 | pieces | qm@311fh | 30 |
| 4 | Hosp Admission Slip | Hosp Admission Slip | 3 | pieces | qm@311fh | 30 |
| 5 | Hosp Discharge Slip | Hosp Discharge Slip | 3 | pieces | qm@311fh | 30 |
| 6 | Intake Output Chart | Intake Output Chart | 3 | pieces | qm@311fh | 30 |
| 7 | Clinical Chart | Clinical Chart | 3 | pieces | qm@311fh | 30 |
| 8 | Injury Report | Injury Report | 200 | pieces | qm@311fh | 30 |
| 9 | Medical Certificate AFMSF93 | Medical Certificate AFMSF93 | 1 | pieces | qm@311fh | 30 |
