Part Details | PRINTED FORM
7540-00-634-4027 A printed or typed sheet form document with blank space or spaces for insertion of specific information. Excludes CARD, TABULATING, ELECTRIC ACCOUNTING MACHINE; PAPER, TABULATING MACHINE, CONTINUOUS FLAT FOLD; PAPER, GRAPH; INDICATING SLIP, DICTATING MACHINE; ENVELOPE (as modified); LABEL; CHART (as modified) and TAG (as modified).
Alternate Parts: STANDARD FORM 78, 7540-00-634-4027, 00-634-4027, 7540006344027, 006344027
| Supply Group (FSG) | NSN Assigned | NIIN | Item Name Code (INC) |
|---|---|---|---|
| 75 | JAN 01, 1961 | 00-634-4027 | 05403 ( FORM, PRINTED ) |
REFERENCE DRAWINGS & PICTURES
Cross Reference | NSN 7540-00-634-4027
| Part Number | Cage Code | Manufacturer |
|---|---|---|
| STANDARD FORM 78 | 80244 | GENERAL SERVICES ADMINISTRATIONFEDERAL SUPPLY SERVICE |
Technical Data | NSN 7540-00-634-4027
| Characteristic | Specifications |
|---|---|
| DOCUMENT TITLE | CERTIFICATE OF MEDICAL EXAMINATION |
| IDENTIFICATION DESIGNATOR | STANDARD FORM 78, 2-PART |
| INTERLEAVED W/CARBON PAPER FEATURE | INCLUDED |
| PARTS QUANTITY | 2 |
| SHEET WIDTH | 8.000 INCHES NOMINAL |
| SHEET LENGTH | 10.500 INCHES NOMINAL |
| ENVIRONMENTAL ATTRIBUTE CODE | COMPREHENSIVE PROCUREMENT GUIDELINE - PAPER AND PAPER PRODUCTS - PRINTING AND WRITING PAPERS |