OTC 40-Pack

OSOM 40-Pack OTC

PDF Form Generator

TEST DEVICE INFO (40-Pack OTC)

Device Lot Number(Required)

Example: 42723XXX

Device EXP Year

Device EXP Month(Required)

Device EXP Day(Required)

PLEASE CONFIRM: •January, March, May, July, August, October, and December all have 31 Days. • April, June, September, and November have 30 Days • February has 29 days in 2024

Number of Individual Tests Devices(Required)

Number of 40-Pack Boxes(Required)

This calculation will be automatic.

Number of 2-Pack of Buffers Needed(Required)

This is for the number of 2-pack 4×6 zip locks that will be made for the entire lot. This calculation will be automatic.

BUFFER TUBES ASSIGNED TO LOT

Buffer Lot Number(Required)

Example: 38423XXX

Buffer EXP Year

Buffer EXP Month(Required)

Buffer EXP Day(Required)

PLEASE CONFIRM: •January, March, May, July, August, October, and December all have 31 Days. • April, June, September, and November have 30 Days • February has 29 days in 2024

OTC 40-PACK HOME KIT

OTC 40-Pack Lot Number(Required)

Example: 42923XXX – Sometimes an over-label is needed in which case, you and an “A” or “B” etc to identify at the end of the LOT number.

OTC 40-Pack EXP Year(Required)

OTC 40-Pack EXP Month(Required)

OTC 40-Pack EXP Day(Required)

PLEASE CONFIRM: •January, March, May, July, August, October, and December all have 31 Days. • April, June, September, and November have 30 Days • February has 29 days in 2024