Duplex printable combo form with wristband and labels
AssigneeRekon, LLC
InventorsRoger Kraft, Gina Staudinger, Luke Bukowski
Life of this patent
Estimating the term…
Abstract
A business form may include a first ply and a second ply coupled thereto, each ply having an upper portion and a lower portion. A wristband is die cut into the second ply upper portion and releasably secured to the first ply, the wristband having a printable central portion and a strap portion. A plurality of compound elements is located in the second ply lower portion, each compound element comprising a release liner area and a die cut label area, the label area having an alert label disposed thereon, the alert label being bounded by the release liner area. A plurality of chart labels are disposed on the first ply lower portion, the chart labels being releasably secured to the form.
Claims13
A business form comprising:
- a first ply having a first ply upper portion and a first ply lower portion;
- a second ply coupled to the first ply, the second ply having a second ply upper portion and
- a second ply lower portion;
- a wristband die cut into the second ply upper portion, the wristband having a central portion and a strap portion, the wristband being releasably secured to the first ply upper portion;
- a printable area disposed on the central portion;
- a plurality of compound elements located in the second ply lower portion, each compound element of the plurality of compound elements comprising a release liner area and a die cut label area, the label area having an alert label disposed thereon, the alert label being bounded by the release liner area;
- and
- a plurality of chart labels disposed on the first ply lower portion, the plurality of chart labels being releasably secured to the form:
- wherein:
- the second ply lower portion is made of polyester;
- at least a portion of the first ply lower portion is made of paper;
- and
- the plurality of compound elements is generally offset from the plurality of chart labels, such that each of the plurality of compound elements acts as a liner for multiple chart labels.
A medical form for conveying information related to a medical patient, the form comprising:
- a first side having a first side upper portion and a first side lower portion;
- a second side having a second side upper portion and a second side lower portion;
- a wristband wearable by a medical patient, the wristband being die cut into the second side upper portion, the wristband having a central portion and a strap portion;
- a first printable area disposed in the central portion on the first side;
- a plurality of alert labels disposed on the second side, each of the plurality of alert label corresponding to a characteristic of a user and being selectively detachable from the form;
- and
- a plurality of chart labels disposed on the first side lower portion, each of the plurality of chart labels being releasably secured to the form;
- wherein:
- at least the second side upper portion is made of polyester;
- wherein the plurality of alert labels comprise polyester, and wherein each of the plurality of alert labels generally corresponds to and is aligned with a chart label of the plurality of chart labels.
Dependencies are inferred from the claim text.