NSN 7540-01-458-2522 · NIIN 014582522 · FSC 7540
NO DASHES 7540014582522
In Stock
FORM,PRINTED
Standard Forms
Technical characteristics
4 rows
Straight from the federal item record. Entries the record leaves empty are shown empty — nothing is filled in on its behalf.
| MRC | Requirement | Value |
|---|---|---|
| AJKH | IDENTIFICATION DESIGNATOR | DA FORM 4700 |
| ALYQ | DOCUMENT TITLE | MEDICAL RECORD-SUPPLEMENTAL MEDICAL DATA |
| CXCY | PART NAME ASSIGNED BY CONTROLLING AGENCY | FORM PRINTED DA 4700 "MEDICAL RECORD-SUPPLEMENTAL...DATA" |
| FEAT | SPECIAL FEATURES | 8 X 10-1/2 IN.; DA FORM NO. 4700; TITLE: MEDICAL RECORD-SUPPLEMENTAL MEDICAL DATA |
Cross-references
2 manufacturer part numbers on file for this NSN — each shown against the CAGE code it belongs to.
| Manufacturer part number | CAGE |
|---|---|
| DA FORM 4700 | 4W874 |
| 98-0597 | 89875 |