Part Details | PRINTED FORM
7540-00-142-8759 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).
Alternate Parts: OPTIONAL FORM 58, 7540-00-142-8759, 00-142-8759, 7540001428759, 001428759
| Supply Group (FSG) | NSN Assigned | NIIN | Item Name Code (INC) |
|---|---|---|---|
| 75 | JUN 05, 1968 | 00-142-8759 | 05403 ( FORM, PRINTED ) |
REFERENCE DRAWINGS & PICTURES
Cross Reference | NSN 7540-00-142-8759
| Part Number | Cage Code | Manufacturer |
|---|---|---|
| OPTIONAL FORM 58 | 80244 | GENERAL SERVICES ADMINISTRATIONFEDERAL SUPPLY SERVICE |
Technical Data | NSN 7540-00-142-8759
| Characteristic | Specifications |
|---|---|
| DOCUMENT TITLE | REPORT OF MEDICAL HISTORY |
| IDENTIFICATION DESIGNATOR | OPTIONAL FORM 58 |
| INTERLEAVED W/CARBON PAPER FEATURE | NOT INCLUDED |
| SHEET WIDTH | 8.000 INCHES NOMINAL |
| SHEET LENGTH | 10.500 INCHES NOMINAL |
| FSC APPLICATION DATA | GOVT WIDE USE |