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Patient health insurance claim form in doctor or nurse hands for medicare coverage and medical treatment from illness, accident injury and admitted in hospital ward

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Small 900 x 506 12.5" x 7" (72 dpi) 31.8 x 17.8 (72 dpi)
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Medium 1600 x 900 5.3" x 3" (300 dpi) 13.5 x 7.6 (300 dpi)
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Large 3590 x 2020 12" x 6.7" (300 dpi) 30.5 x 17 (300 dpi)
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Extended License 3590 x 2020 12" x 6.7" (300 dpi) 30.5 x 17 (300 dpi)
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