Series
25:
This Series contains blank forms, x-ray reports, correspondence, and miscellaneous items pertaining to the hospital.
In
this Series:
1. =
Blank Forms
2. =
X-ray Report & Account
3. =
Correspondence
4. =
Miscellaneous
1.
BLANK FORMS
1.1 (31) Workmen’s Compensation Annual Certificate of Fitness
(9) Workman’s Compensation Temporary Certificate of Fitness
(1 pad)Workmen’s Compensation X-Ray Report
(147) Packing Slip - Chest x-ray films
(1 pad) Chest Consulation - Cariboo Health Unit
(1 pad) Chest x-ray consulation (short form)
(14) Chest x-ray consulation (long form)
1.2 (22) Used carbon paper
1.3 (1 pad)Cover page for Patient Admitted/discharged
(1 pad)Orders for treatment
(17) Workmen’s Compensation History of Empolyment (Silicosis)
(2) Gold Quartz Hospital letter head
paper.