Product Details | PRINTED FORM

7540-01-458-2817 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).20275300027Stationery and Record Forms75400014Standard Forms

Part Alternates: SF 522, SF522, STANDARD FORM 522, STANDARDFORM522, 980537, 98-0537, 7540-01-458-2817, 01-458-2817, 7540014582817, 014582817

Office Supplies and Devices | Standard Forms

Supply Group (FSG) NSN Assign. NIIN
75 01-458-2817

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Technical Data | NSN 7540-01-458-2817

Characteristic Specifications
SPECIAL FEATURES STANDARD FORM 522;"MEDICAL RECORD- REQUESTFOR ADMINISTRATION OF ANESTHESIA AND FOR PERFORMANCE OF OPERATIONS AND OTHER PROCEDURES"
III PART NAME ASSIGNED BY CONTROLLING AGENCY FORM PRINTED SF 522 MEDICAL RECORD REQUEST FOR ADMIN IF ANESTHES

Restrictions/Controls & Freight Information | NSN 7540-01-458-2817

Category Code Description
Hazardous Material Indicator CodeNThere is no data in the HMIS and the NSN is in an FSC not generally suspected of containing hazardous materials
Category Code Description
No Freight Information