Courier Log Sheet by sparkunder23

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									                                                  Courier Log Sheet
Provincial Blood
Coordinating Program      For Use by Newfoundland and Labrador Regional Health Authorities as part of the Interhospital Transfer Program

  Pick Up              Pick Up                                   Number of Courier
                                        Courier Name Destination   Boxes    Signature
   Date                 Time
     yyyy-mm-dd          hhmm                                     Shipped Date/Time
                                                                           yyyy-mm-dd / hhmm

Form: IHT-NL 003                                                                                                      Effective Date:2008-10-01

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