POC 40-Pack

OSOM 40-Pack POC

PDF Form Generator

TEST DEVICE INFO (40-Pack POC)

Device Lot Number

Example: 42723XXX

Device EXP Year

Device EXP Month

Device EXP Day

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

Number of 40-Pack Boxes

This calculation will be automatic.

Number of 20-Pack Kits Needed

This is for the number of 20-packs of 5×8 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

Buffer EXP Day

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

POC 40-PACK BOX KIT

POC 40-Pack Lot Number(Required)

Example: 38923XXX – 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.

POC 40-Pack EXP Year(Required)

POC 40-Pack EXP Month(Required)

POC 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

SWABS

Include the Lot number for SWABS you plan to include in this lot shipment.

SWAB LOT Number

SWAB EXP Date

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Totals Needed

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Need to Print – POC – 40-Pack Over Labels

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Need to Print – 20-Pack Kit – Ziplock Label

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Need to Print – 12-Pack Labels

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