Objects

Viewing Record 14 of 81
Previous Record  Next Record
Switch Views: Lightbox | Image List | List

NHS Hospital Eye Services: Prescription and Voucher HES(P) 1
ARCHIVAL ITEMS
form; prescription
Worthing and Southlands Hospital NHS Trust
Europe: United Kingdom, England, West Sussex, Worthing
2019
paper
overall: 297 mm x 210 mm

Optometry patient referral form for a local NHS Trust. A4 portrait format, printed in black on three sides of white paper, folded. Includes space for prescription and details of 6-month voucher entitlement and any supplements applicable to special frames and an application form for help with the cost of glasses and a supplier's declaration. [2 copies].


2020.215

Gift of Mr John Dixon Salt FCOptom, 2020



Related Media

Browse by