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Part Number

Part Number:
NSN:
NIIN:
Item Name:
FORM , PRINTED

Definition:

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).

CAGE Information

Code Company
4W874 U S GOVERNMENT PRINTING OFFICE SUPER

Federal Supply Class

Title

STANDARD FORMS

Inclusions:

INCLUDES ONLY THOSE STANDARD FORMS APPROVED FOR GOVERNMENT-WIDE USE BY THE GOVERNMENT ACTIVITIES EMPOWERED TO DO SO (SUCH AS THE U.S. BUREAU OF THE BUDGET AND THE U.S. GENERAL ACCOUNTING OFFICE, AND SIMILAR ORGANIZATIONS IN OTHER NATO COUNTRIES).

Exclusions:

EXCLUDES FORMS APPROVED FOR USE WITHIN INDIVIDUAL GOVERNMENT ACTIVITIES.

Characteristics (Decoded)

MRC Requirements Statement Clear Text Reply
AJKH IDENTIFICATION DESIGNATOR DA FORM 3647
FEAT SPECIAL FEATURES 8 X 10-1/2 IN.; DA FORM NO. 3647; TITLE: INPATIENT RECORD COVER SHEET
ALYQ DOCUMENT TITLE INPATIENT TREATMENT RECORD COVER SHEET
CXCY PART NAME ASSIGNED BY CONTROLLING AGENCY FORM PRINTED INPATIENT TREATMENT RECORD COVER SHEET DA FORM 3647
AGUC UNIT PACKAGE QUANTITY 100

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DA FORM 3647 , DAFORM3647 , 7540-01-458-2773 , 7540014582773 , 014582773