Patient Record & Medical History

Patient details, medical history, medications and allergies. Clinical findings and the treatment plan on the back. A4, double-sided.

Printed on

Printed Form

200 gsm uncoated · glued into pads · carrying your clinic’s name

Clinic name

The name printed across the head of every form. Leave it blank and the forms print exactly as they were drawn, unbranded.

Contact line

Address and telephone — one line, set small under the name.

Logo remove

Optional. PNG or JPEG.

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Quantity

Each ₺40.00

Total ₺1,000.00

Prices include VAT.

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The drawing is the designer's; the colour and the logo are yours. What you see above is what we print.