Part Details | PRINTED FORM
7540-01-458-2522 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: 980597, 98-0597, DA FORM 4700, 7540-01-458-2522, 01-458-2522, 7540014582522, 014582522
| Supply Group (FSG) | NSN Assigned | NIIN | Item Name Code (INC) |
|---|---|---|---|
| 75 | AUG 19, 1998 | 01-458-2522 | 05403 ( FORM, PRINTED ) |
REFERENCE DRAWINGS & PICTURES
Cross Reference | NSN 7540-01-458-2522
| Part Number | Cage Code | Manufacturer |
|---|---|---|
| 98-0597 | 89875 | DEFENSE LOGISTICS AGENCYDIRECTORATE OF MEDICAL MATERIEL |
| DA FORM 4700 | 4W874 | U S GOVERNMENT PRINTING OFFICESUPERINTENDANT OF DOCUMENTS |
Technical Data | NSN 7540-01-458-2522
| Characteristic | Specifications |
|---|---|
| DOCUMENT TITLE | MEDICAL RECORD-SUPPLEMENTAL MEDICAL DATA |
| IDENTIFICATION DESIGNATOR | DA FORM 4700 |
| SPECIAL FEATURES | 8 X 10-1/2 IN.; DA FORM NO. 4700; TITLE: MEDICAL RECORD-SUPPLEMENTAL MEDICAL DATA |
| PART NAME ASSIGNED BY CONTROLLING AGENCY | FORM PRINTED DA 4700 "MEDICAL RECORD-SUPPLEMENTAL...DATA" |