Patient Name Card

Features:

• Printed on high contrast, archival quality paper—perfect for both receiving and preserving infant foot prints
• Disposable plastic plate fits easily in the palm of one hand
• Receives and retains every detail of a baby’s tiny skin print
• Space for recording pertinent birth information and verifying signatures
• Enough space for two infant footprints and a mother’s fingerprint
• Some forms allow for the attachment of infant’s ID band
• Non-sterile

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