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ADDITIVE Last name _________________ File number ___________ Drug added ______ Date and hour _________________...

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Allergic to ............... Colour: Black/Fluo Red Quantity: 1000 labels per roll Size: 1 3/4 X 1 1/4 in.

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ADDITIVE Last name _________________ File number ___________ Drug added ______ Date and hour _________________...

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