{"product_id":"form-104-2w","title":"Form 104-2W - Ledger and Treatment Record","description":"\u003cp\u003eLedger and Treatment Record\u003cbr\u003eAmple space for services rendered in a vertical format\u003cbr\u003eBack is same as front except without patient information\u003cbr\u003eHas space for medical alert\u003cbr\u003eSize 8.5” x 11\"\u003cbr\u003ePrinted 2 sides\u003cbr\u003eBlack ink on white index stock\u003cbr\u003e100 Per Package.\u003c\/p\u003e","brand":"4 Dental Docs","offers":[{"title":"Default Title","offer_id":48046882128130,"sku":null,"price":32.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0825\/9908\/4290\/files\/104-2WLedgerandTreatmentRecords1.jpg?v=1782505274","url":"https:\/\/4dentaldocs.com\/products\/form-104-2w","provider":"4 Dental Docs","version":"1.0","type":"link"}