International Filing

52 Pages·2004·3.05 MB·English

by  International Filing Company

international filing company
rad a manufacturer of specialty filing products
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radiology filing products
international filing company
radiology filing products
2 tabas lane | exton, pa 19341
p: 800.238.6262 | f: 800.238.9434
There are some things that
can always be relied on...
International Filing Company (IFC), proudly offers the most extensive and
diversified Radiology Film Filing and Accessory product lines for today’s
ever-changing Healthcare market.
Whether a stock item or custom made-to-order product is specified, complete
core-competencies allow IFC to service individual customer needs.
IFC welcomes the opportunity to service any requirements.
2 tabas lane | exton, pa 19341
p: 800.238.6262 | f: 800.238.9434
CONTENTS
Shelf Guides and Out-Guides ..............................pg. 21
X-Ray Jackets - Color-Coded............................ pgs. 2 – 4 Shelf Guides.......................................................... 21
AFV ........................................................................ 2 Lightweight Out-Guides .................................... 21
Ames ...................................................................... 3 Heavyweight Out-Guides.................................... 21
Report Folders ...................................................... 3 Economy Out-Guides .......................................... 21
Smead .................................................................... 4 Charge-Out Slips.................................................. 21
X-Ray Jackets - Non-Color-Coded ........................ pg. 5 Film Carriers................................................................ 22
Lightweight............................................................ 5 Protective Film Carriers........................................ 22
Heavyweight .......................................................... 5 The Ultimate Caddy ............................................ 22
Plain Heavyweight ................................................ 5 The Economy Caddy ............................................ 22
Heavyweight with Pocket...................................... 5 Clear Caddy.......................................................... 22
Plain Heavyweight with Pocket............................ 5 Mid-Size File Pocket ............................................ 22
The Expanding Super Caddy .............................. 23
Jacket Print Copy Guide ................................ pgs. 6–8
Mid-Size Expansion Carriers................................ 23
X-Ray Jackets - Negative Preservers .......................... 9 The Super Caddy.................................................. 23
Negative Preservers—Open End .......................... 9 Mid-Size Classic Carriers ...................................... 23
Negative Preservers—Open Side .......................... 9 Confidential Carrier ............................................ 24
Expanding Neg. Preservers—Open End................ 9 Routing Slips ........................................................ 24
Negative Preservers with Flap—Open End .......... 9 Security Ties.......................................................... 24
X-Ray Jackets - Specialty ............................ pgs. 10–11 Film Protectors......................................................pg. 25
Teaching Files........................................................10 100mm Film Mounts............................................ 25
Loan Film Jacket....................................................10 105mm Film Mounts............................................ 25
Radiation Oncology Film Jacket ..........................10
Expansion X-Ray Jacket........................................11
Mammography Film Jacket..................................11 Labels-Compatible ........................................pgs. 26–34
Miscellaneous File Jackets....................................11 Acme .................................................................... 27
Midi X-Ray Film Jackets........................................11 AFV ...................................................................... 28
Angiography Jackets ............................................11 Ames .............................................................. 29–30
Economy X-Ray Jackets ........................................11 GBS ...................................................................... 31
Sav-Tyme .............................................................. 32
X-Ray Mailers ...................................................... pg. 12
Smead .................................................................. 33
Standard X-Ray Film Mailers .............................. 12
Tab ........................................................................ 34
Expansion X-Ray Film Mailer................................12
Chipboard X-Ray Film Mailers..............................12 Specialty Labels ............................................pgs. 35–36
M.R.I. Film Mailer..................................................12 Alpha Labels ........................................................ 35
Month Labels ...................................................... 35
X-Ray Accessories ................................................pg. 12
Day and Date Labels .......................................... 36
X-Ray Mailing Form................................................12
Special Designation Labels ................................ 36
X-Ray Labels.......................................................... 12
Correction Labels ................................................ 36
Specialty Communication Labels ................ pgs. 37–38
Category Insert Jackets ................................pgs. 13–17
Medical Alert Labels ....................................pgs. 38–39
System A................................................................13
System B ................................................................14 Computer Generated Labels ..............................pg. 40
System C ................................................................15
Label Accessories ................................................pg. 41
System D................................................................16
Reinforcement Tape ............................................ 41
White Insert Jackets..............................................17
Mylar Label Protectors ........................................ 41
White Jacket Category Labels..............................17
Mylar Reinforcement Strips ................................ 41
Mini Category Insert Jackets................................pg. 18 Tape Dispenser .................................................... 41
Open End.............................................................. 18 Double-sided Adhesive Tape .............................. 41
Open Side ............................................................ 18 Label Dispenser .................................................. 41
Storage..................................................................pg. 19 Custom Capabilities......................................pgs. 43–45
Storage Boxes ...................................................... 19
Carry Cases............................................................ 19
Pockets ..................................................................pg. 20
Vinyl Pockets ...................................................... 20
Poly Pockets ........................................................ 20
1
X-RAY JACKETS, COLOR-CODED
TERMINAL DIGIT FILING
Consider this...
Its Estimated That Every Misfile Will Cost You 100 Dollars
Consider the hours it might take to find misplaced
files, the lost productivity, and the problems that
missing files create—it would be lucky to lose only
a hundred. That’s why color-coding the filing system
is so important. The human eye can quickly discern
differences in color, minimizing costly misfiles.
It’s easy to see the cost benefits
color-coding can provide.
AFV Color Code System
• 3/4" self-expansion
• Staggered thumb-cut for easy opening
0-Purple 1-Black 2-Gray 3-Green 4-Red
5-Yellow 6-Blue 7-Pink 8-Brown 9-Orange
Item # Ref # Size Pocket Style Sub.Wt./Stock Packed Print Copy Qty/Ctn Lb/m
XJ1300* — 141⁄2" x 181⁄4" — 11 pt.Manila 10 of 10 C 100 210
XJ2300* — 141⁄2" x 181⁄4" Kangaroo 3 11 pt.Manila 10 of 10 C 100 240
XJ1350 6610x 141⁄2" x 181⁄4" — 11 pt.Manila 00–99 C 100 210
XJ2350 6710x 141⁄2" x 181⁄4" Kangaroo 3 11 pt.Manila 00–99 C 100 240
Note:To specify the year, please add the last two digits of the year to the stock number. Ex.: 2005, XJ135005
See pgs. 6–7 for details on the print copy of Master Jackets
2
X-RAY JACKETS, COLOR-CODED
TERMINAL DIGIT FILING
AMES Color Code System
• 3/4" self-expansion
• Staggered thumb-cut for easy opening
• Collated in one terminal digit set 00 to 99
0-Red 1-Gray 2-Blue 3-Orange 4-Purple
5-Black 6-Yellow 7-Brown 8-Pink 9-Green
Item # Ref # Size Pocket Style Sub.Wt./Stock Packed Print Copy Qty/Ctn Lb/m
XJ1100 — 141⁄2" x 181⁄4" — 11 pt.Manila 00–99 A 100 210
XJ2100 6567x 141⁄2" x 181⁄4" Kangaroo 3 11 pt.Manila 00–99 A 100 240
XJ1120 6428x 141⁄2" x 181⁄4" — 11 pt.Manila 00–99 D 100 210
XJ1150 64275 141⁄2" x 181⁄4" — 9 pt.Manila 00–99 (2 sets) D 200 180
XJ6470* 65500 93⁄4" x 123⁄4" — 11 pt.Manila 00–99 (2 sets) E 200 105
Note:To specify the year, please add the last two digits of the year to the stock number. Ex.: 2005, XJ135005
See pgs. 6–7 for details on the print copy of Master Jackets
*Note: XJ6470 will not contain black terminal digit numbers in patient number block.
Report Folders Patient Record
Drop front cut top tab. Standard printed format in black ink on folder front and tab.
Letter Size-Body: 87⁄8x 121⁄4
Item # Ref # Size Description Sub Wt/Stock Qty/Bx Qty/Ctn Lb/m
F15791 RF3120 91⁄2" x 121⁄4" Folder w/no Fastener 11 pt.Manila 100 500 80
F15790 RF3125 91⁄2" x 121⁄4" Folder w/Fastener Pos.1 11 pt.Manila 50 250 88
F70000 — — Adhesive strips to shingle mount 15 reports — 100 500 80
3
X-RAY JACKETS, COLOR-CODED
TERMINAL DIGIT FILING
SMEAD Color Code System
• 3/4" self-expansion
• Staggered thumb-cut for easy opening
5 5 5 5 5 5 5 5 5 5
0-Yellow 1-Blue 2-Pink 3-Purple 4-Orange
5-Brown 6-Green 7-Gray 8-Red 9-Black
5 5
Preprinted Color Bars and Year Bar
Item # Ref # Size Pocket Style Sub.Wt./Stock Packed Print Copy Qty/Ctn Lb/m
XJ1200 — 141⁄2" x 19" — 11 pt.Manila 00–99 B2 100 213
XJ2200 — 141⁄2" x 19" Kangaroo 11 pt.Manila 00–99 B2 100 243
Note:To specify the year, please add the last two digits of the year to the stock number. Ex.: 2005, XJ135005
See pgs. 6–7 for details on the print copy of Master Jackets
Polylaminated Color Bars and Pre-Printed Year Bar (1-side)
Item # Ref # Size Pocket Style Sub.Wt./Stock Packed Print Copy Qty/Ctn Lb/m
XJ1210 6608x 141⁄2" x 19" — 11 pt.Manila 00–99 B1 100 213
XJ2210 6708x 141⁄2" x 19" Kangaroo 3 11 pt.Manila 00–99 B1 100 243
Note:To specify the year, please add the last two digits of the year to the stock number. Ex.: 2005, XJ135005
See pgs. 6–7 for details on the print copy of Master Jackets
Polylaminated Color Bars and Pre-Printed Year Bars (2-sided)
Item # Ref # Size Pocket Style Sub.Wt./Stock Packed Print Copy Qty/Ctn Lb/m
XJ1230 — 141⁄2" x 19" — 11 pt.Manila 00–99 B1 100 213
XJ2230 6709x 141⁄2" x 19" Kangaroo 3 11 pt.Manila 00–99 B1 100 243
Note:To specify the year, please add the last two digits of the year to the stock number. Ex.: 2005, XJ135005
See pgs. 6–7 for details on the print copy of Master Jackets
4
X-RAY JACKETS
NON-COLOR-CODED
Non-Color-Coded X-Ray Jackets
• 3/4" self expansion
• Staggered thumb-cut for easy opening
• Printed jackets are pre-blocked for easy adaptation
to most color-coded systems.
XJ3010 XJ3120 XJ4010
Print copy A LOAN I1 F I IO2 IOL I3ID F IE4VR 5V DATE OF BIFRIRTSHT NAMMEONTHDAYINITYIEAALR LAST Print copy D Print copy A
DATE EXAMINATION REMARKS RADIOLOGIST DATE EXAMINATION REMARKS RADIOLOGIST
PMAITNIEONRT SIGN OUT ALL FILMS BEFORE REMOVING FROM DEPT. OF RADIOLOGY NUMBER DEPARTMENT OF RADIOLOGY PMAITNIEONRT 12
LOAN RECORD ON BACK DATE TYPE OF EXAMINATION RADRIBEOAYDLOGYNDAATMEE OF BIRTH DRREURMGEAI FYVSR EEYKESSRENSSS EISTN EISVOEIIDTEYJACKET NO. DATE TYPE OF EXAMINATION REPRBEOAYDRTS REMARKS COTAR"PRD1ETTEI0G 3OO0SHI0PTE"ORNED
OANL YCEOADRE
YEAR YEAR
PMAITNIEONRT DO NOT REMOVE FROM DEPARTMENT WITHOUT AUTHORIZATION DO NOT REMOVE FROM DEPARTMENT OF RADIOLOGY MPAINTIOERNT
XJ3030 Print copy A XJ4130 Print copy B1 XJ4040 Print copy C
Lightweight Without Pocket
Item # Ref # Size Sub.Wt./Stock Pocket Style Print Copy Qty/Ctn Lb/m
XJ3010 — 141⁄2" x 181⁄4" 40 lb.Brown Kraft — A 125 132
Heavyweight Without Pocket
Item # Ref # Size Sub.Wt./Stock Pocket Style Print Copy Qty/Ctn Lb/m
XJ3030 — 141⁄2" x 181⁄4" 11 pt.Manila — A 100 210
XJ3060 66274 141⁄2" x 181⁄4" 11 pt.Manila — C 100 210
XJ3120 64276 141⁄2" x 181⁄4" 11 pt.Manila — D 100 210
XJ3150 66276 141⁄2" x 19" 11 pt.Manila — B1 100 210
Plain Heavyweight Without Pocket
Item # Ref # Size Sub.Wt./Stock Pocket Style Print Copy Qty/Ctn Lb/m
XJ3020* 64278 141⁄2" x 181⁄4" 11 pt.Manila — — 100 210
XJ3220* — 141⁄2" x 19" 11 pt.Manila — — 100 213
*Can be custom printed to individual specifications.
Heavyweight with Pocket
Item # Ref # Size Sub.Wt./Stock Pocket Style Print Copy Qty/Ctn Lb/m
XJ4010 65512 141⁄2" x 181⁄4" 11 pt.Manila Kangaroo 3 A 100 240
XJ4020 — 141⁄2" x 181⁄4" 11 pt.Nat.Kraft Kangaroo 3 A 100 240
XJ4040 67515 141⁄2" x 181⁄4" 11 pt.Manila Kangaroo 3 C 100 240
XJ4130 67512 141⁄2" x 19" 11 pt.Manila Kangaroo 3 B1 100 243
XJ4500 — 141⁄2" x 181⁄2" 11 pt.Manila Kangaroo 3 F 100 241
Plain Heavyweight with Pocket
Item # Ref # Size Sub.Wt./Stock Pocket Style Print Copy Qty/Ctn Lb/m
XJ4030* 65510 141⁄2" x 181⁄4" 11 pt.Manila Kangaroo 3 — 100 240
XJ4050* 65610 141⁄2" x 181⁄4" 11 pt.Nat.Kraft Kangaroo 3 — 100 240
XJ4220* 65511 141⁄2" x 19" 11 pt.Manila Kangaroo 3 — 100 243
*Can be custom printed to individual specifications.
5
X-RAY JACKETS, COLOR-CODED
TERMINAL DIGIT FILING
JACKET COPY GUIDE
Use this guide to reference the different styles of copy available for Master Jackets.
Print Copy A
1I I IF2 O I IOL I3D F E I VR4 V5 FIRST NAME INITIAL LAST LAST INITIAL FIRST NAME 1I I IF2 O I IOL I3D F E I VR4 V5
DATE OF BIRTHMONTH DAY YEAR DATE OF BIRTHMONTH DAY YEAR
REPORTS
CONTRAST MEDIA SENSITIVITY CAT-SCANSNUCLEAR MEDICINEULTRASOUND CONTRAST MEDIA SENSITIVITY CAT-SCANSNUCLEAR MEDICINEULTRASOUND
DATE EXAMINATION RPEHFYESRICRIIANNG REMARKS REBAYD DIAGPNAOTSIHSOLOGY/TEACHING FILE DATE EXAMINATION RPEHFYESRICRIIANNG REMARKS REBAYD DIAGPNAOTSIHSOLOGY/TEACHING FILE
FRIELMEDA RUKNSD:ER: FRIELMEDA RUKNSD:ER:
LOAN RECORD LOAN RECORD
DATE OUTPHYSICIAN–LOCATIONDATE IN DATE OUTPHYSICIAN–LOCATIONDATE IN
SIGN OUT ALL FILMS BEFORE REMOVING FROM RADIOLOGY DEPARTMENT SIGN OUT ALL FILMS BEFORE REMOVING FROM RADIOLOGY DEPARTMENT
Seam Side Pocket Version Non-Seam Side Pocket Version
1I I IF2 O I IOL I3D F E I VR4 V5 FIRST NAME INITIAL LAST LAST INITIAL FIRST NAME 1I I IF2 O I IOL I3D F E I VR4 V5
DATE OF BIRTHMONTH DAY YEAR DATE OF BIRTHMONTH DAY YEAR
CONTRAST MEDIA SENSITIVITY CAT-SCANSNUCLEAR MEDICINEULTRASOUND CONTRAST MEDIA SENSITIVITY CAT-SCANSNUCLEAR MEDICINEULTRASOUND
DATE EXAMINATION RPEHFYESRICRIIANNG REMARKS REBAYD DIAGPNAOTSIHSOLOGY/TEACHING FILE DATE EXAMINATION RPEHFYESRICRIIANNG REMARKS REBAYD DIAGPNAOTSIHSOLOGY/TEACHING FILE
FRIELMEDA RUKNSD:ER: FRIELMEDA RUKNSD:ER:
LOAN RECORD LOAN RECORD
DATE OUTPHYSICIAN–LOCATIONDATE IN DATE OUTPHYSICIAN–LOCATIONDATE IN
SIGN OUT ALL FILMS BEFORE REMOVING FROM RADIOLOGY DEPARTMENT SIGN OUT ALL FILMS BEFORE REMOVING FROM RADIOLOGY DEPARTMENT
Non-Seam Side Non-Pocket Version Seam Side Non-Pocket Version
Print Copy B1
NUMBER NUMBER
DNAATMEE OF BIRTH DRURGEI FVSN EYEORENSSS EISTY EISEVEISIDTEYJACKET NO. NDAATMEE OF BIRTH DIFR YUEGSN OSSEEEN YSBEIETSLIVOIWTYJACKET NO.
RADIOLOGY DATE TYPE OF EXAMINATION RADRIOBEAYLDOGY REMARKS ALLERGIC TO:
DATE TYPE OF EXAMINATION REBAYD REMARKS DIAGNTOEASCISH:ING / PATHOLOGY FILE
TREEAMCAHRINKGS: FILE NO.
DOAUTTEFINLOM.SLOALONC DATAIOTAN DAINTE
OANL OANL
YEAR YEAR YEAR YEAR
DO NOT REMOVE FROM DEPARTMENT WITHOUT AUTHORIZATION DO NOT REMOVE FROM DEPARTMENT WITHOUT AUTHORIZATION
Seam Side Pocket Version Non-Seam Side Pocket Version
NUMBER NUMBER
RADIOLOGY DNAATMEE OF BIRTH DRURGEI FVSN EYEORENSSS EISTY EISEVEISIDTEYJACKET NO. NDAATMEE OF BIRTH DIFR YUEGSN OSSEEEN YSBEIETSLIVOIWTYJACKET NO.
DATE TYPE OF EXAMINATION RBEAYD REMARKS DATE TYPE OF EXAMINATION RADRIOEBAYLDOGY REMARKS ALLERGIC TO:
TEACHING / PATHOLOGY FILE
DIAGNOSIS:
TREEAMCAHRINKGS: FILE NO.
DOAUTTEFINLOM.SLOALONC DATAIOTAN DAINTE
OANL OANL
DO NOT REMOVE FROM DEPARTMENT WITHOUT AUTHORIZATION DO NOT REMOVE FROM DEPARTMENT WITHOUT AUTHORIZATION
Non-Seam Side Non-Pocket Version Seam Side Non-Pocket Version
6
X-RAY JACKETS, COLOR-CODED
TERMINAL DIGIT FILING
JACKET COPY GUIDE
Use this guide to reference the different styles of copy available for Master Jackets.
Print Copy B2
NUMBER NUMBER
RADIOLOGY DNAATMEE OF BIRTH DRURGEI FVSN EYEORENSSS EISTY EISEVEISIDTEYJACKET NO. NDAATMEE OF BIRTH DIFR YUEGSN OSSEEEN YSBEIETSLIVOIWTYJACKET NO.
RADIOLOGY ALLERGIC TO:
DATE TYPE OF EXAMINATION RBEAYD REMARKS
DATE TYPE OF EXAMINATION REBAYD REMARKS DIAGNTOEASCISH:ING / PATHOLOGY FILE
TREEAMCAHRINKGS: FILE NO.
DOAUTTEFINLOM.SLOALONC DATAIOTAN DAINTE
OANL OANL
YEAR YEAR YEAR YEAR
DO NOT REMOVE FROM DEPARTMENT WITHOUT AUTHORIZATION DO NOT REMOVE FROM DEPARTMENT WITHOUT AUTHORIZATION
Non-Seam Side Pocket Version Seam Side Pocket Version
NUMBER NUMBER
DNAATMEE OF BIRTH DRURGEI FVSN EYEORENSSS EISTY EISEVEISIDTEYJACKET NO. NDAATMEE OF BIRTH DIFR YUEGSN OSSEEEN YSBEIETSLIVOIWTYJACKET NO.
RADIOLOGY ALLERGIC TO:
DATE TYPE OF EXAMINATION RBEAYD REMARKS DATE TYPE OF EXAMINATION REBAYD REMARKS
TEACHING / PATHOLOGY FILE
DIAGNOSIS:
TREEAMCAHRINKGS: FILE NO.
DOAUTTEFINLOM.SLOALONC DATAIOTAN DAINTE
OANL OANL
DO NOT REMOVE FROM DEPARTMENT WITHOUT AUTHORIZATION DO NOT REMOVE FROM DEPARTMENT WITHOUT AUTHORIZATION
Non-Seam Side Non-Pocket Version Seam Side Non-Pocket Version
Print Copy C
DEPARTMENT OF RADIOLOGY 1 1 DEPARTMENT OF RADIOLOGY
2 2
first midAdlGeE dlaatset of birth 3 3 date of bilratsht AGEmiddle first
JACKET 1 2 3 4 5 M F M F JACKET 1 2 3 4 5
DATE EXAMINATION REMARKS/IMPRESSION rpehfyesricrRiianngE rPebayOdRTDASTE EXAMINATION REMARKS/immproensstihondayrpehfyesricriiaynnge arrebayd COTARP"RD1ETTEI0G OOS0HI0PTE"ORNED COTARP"RD1ETTEI0G OOS0HI0PTE"ORNED DATmEonthEXAdMaINyATIONyear REMARKS/impression rpehfyesricriianng rebayd DATE EXAMINATION REMARKS/IMPRESSION rpehfyesricriianng rebayd
DATE outnfoil. mosf LOPhAysiNcia nR/LEocCatOionRD reDtuartneed yceoader yceoader DATE outnfoil. mosf LOPhAysiNcia nR/LEocCatOionRD reDtuartneed
pmatinieonrt pmatinieonrt
DO NOT REMOVE FROM DEPARTMENT OF RADIOLOGY DO NOT REMOVE FROM DEPARTMENT OF RADIOLOGY
Seam Side Pocket Version Non-Seam Side Pocket Version
DEPARTMENT OF RADIOLOGY 1 1 DEPARTMENT OF RADIOLOGY
2 2
first midAdlGeE dlaatset of birth 3 3 date of bilratsht AGEmiddle first
JACKET 1 2 3 4 5 M F M F JACKET 1 2 3 4 5
DATE EXAMINATION REMARKS/IMPRESSION rpehfyesricriianng rebayd DATE EXAMINATION REMARKS/immproensstihondayrpehfyesricriiaynnge arrebayd COTARP"RD1ETTEI0G OOS0HI0PTE"ORNED COTARP"RD1ETTEI0G OOS0HI0PTE"ORNED DATmEonthEXAdMaINyATIONyear REMARKS/impression rpehfyesricriianng rebayd DATE EXAMINATION REMARKS/IMPRESSION rpehfyesricriianng rebayd
DATE outnfoil. mosf LOPhAysiNcia nR/LEocCatOionRD reDtuartneed yceoader yceoader DATE outnfoil. mosf LOPhAysiNcia nR/LEocCatOionRD reDtuartneed
pmatinieonrt pmatinieonrt
DO NOT REMOVE FROM DEPARTMENT OF RADIOLOGY DO NOT REMOVE FROM DEPARTMENT OF RADIOLOGY
Non-Seam Side Non-Pocket Version Seam Side Non-Pocket Version
7
X-RAY JACKETS, COLOR-CODED
TERMINAL DIGIT FILING
JACKET COPY GUIDE
Use this guide to reference the different styles of copy available for Master Jackets.
Print Copy D
1I I FI2 O I OIL I3D F IE V4R V5 DATE OF BFIRIRTSHT NAMMEONTH DAINYITIALYEAR LAST DIAGPNAOTSHIOSLOGY / TEACHING FILE DATE OUT EXAM NFLIOL.M OOSFAN RECLOOCATRIOND DATE IN
FRIELMEDA RUKNSD:ER:
DATE EXAMINATION REMARKS RADIOLOGIST DATE EXAMINATION REMARKS RADIOLOGIST
SIGN OUT ALL FILMS BLEOFAONR ER RECEOMRODV IONNG BFARCOKM DEPT. OF RADIOLOGY
Non-Seam Side Non-Pocket Version Seam Side Non-Pocket Version
Print Copy E
LROEACNO RD DO NOT REMOVE FROM 1
2
3 PATIENT'S NAME LAST FIRST INITIAL
PATIENLTA'SST NAME FIRST INITIAL DOAUTTE LOAN RECORDDAINTE
BIRTHDATE AGE 0 0
C.T. ULTRASOUND NUC. MED. DSA OTHER
MAMMOGRAPHY
0 0
Sign out all films before removing from Dept.
DATE EXAMINATION DOCTOR TAPE FILE NO. NOTES
Non-Seam Side Non-Pocket Version Seam Side Non-Pocket Version
Print Copy F
NAOL LOAN
VOLUME1I I I2 I IO I3 F I V4 V5
LAST NAME LAST NAME
FIRST NAME DATE OF BIRTH FIRST NAME DATE OF BIRTH
DATE EXAMINATION REMARKS REBAYD REFPILOERDTS DIAGPNAOTSIHSOLOGMYON/TTHEACDAHYING YFEIALRE REPORTS MONTH DAY YEAR
FRIELMEDA RUKNSD:ER: DATE EXAMINATION REMARKS REBAYD REFPILOERDTS DIAGPNAOTSIHSOLOGY/TEACHING FILE
DOAUTTE FINLOM.SLOANL ORCAETICONORDDAINTE FRIELMEDA RUKNSD:ER:
LOAN RECORD
DOAUTTE FINLOM.S LOCATION DAINTE
YEAR YEAR YEAR YEAR
05 05 05 05
DO NOT REMOVE FROM DEPARTMENT WITHOUT AUTHORIZATION DO NOT REMOVE FROM DEPARTMENT WITHOUT AUTHORIZATION
Non-Seam Side Non-Pocket Version Seam Side Non-Pocket Version
8