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National Health Service
Europe: United Kingdom
overall: 299 x 211 mm
Official form for ophthalmic practitioners to claim replacement dispensing or repair fees for NHS frames and lenses and metal-bodied cases. Pad of multiple sheets, A4 portrait format, printed on both sides in black on green paper. Soft off-white front cover overprinted with notes on use of the form.
Southampton and Hampshire Optical Association Archive, 2009