Patient Name Card


  • 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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Part No.QuantitySizeBuy
8403208 sheets/pack5.75" x 0.75"
8423144 sheets/pack5.75" x 1"