Part Details | PRINTED FORM
7540-01-458-2237 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: 980600, 98-0600, DA FORM 5570, 7540-01-458-2237, 01-458-2237, 7540014582237, 014582237
| Supply Group (FSG) | NSN Assigned | NIIN | Item Name Code (INC) |
|---|---|---|---|
| 75 | AUG 18, 1998 | 01-458-2237 | 05403 ( FORM, PRINTED ) |
REFERENCE DRAWINGS & PICTURES
Cross Reference | NSN 7540-01-458-2237
| Part Number | Cage Code | Manufacturer |
|---|---|---|
| 98-0600 | 89875 | DEFENSE LOGISTICS AGENCYDIRECTORATE OF MEDICAL MATERIEL |
| DA FORM 5570 | 4W874 | U S GOVERNMENT PRINTING OFFICESUPERINTENDANT OF DOCUMENTS |
Technical Data | NSN 7540-01-458-2237
| Characteristic | Specifications |
|---|---|
| DOCUMENT TITLE | HEALTH QUESTIONAIRE FOR DENTAL TREATMENT |
| IDENTIFICATION DESIGNATOR | DA FORM 5570 |
| SPECIAL FEATURES | 8 X 10-1/2 IN.; DA FORM 5570; TITLE: HEALTH QUESTIONAIRE FOR DENTAL TREATMENT |
| PART NAME ASSIGNED BY CONTROLLING AGENCY | FORM PRINTED DA 5570 "HEALTH QUESTIONAIRE FOR DENTAL TREATMENT" |