Humira - Renewal

Native Offsets

TopLeft 11x27    BottomRight 223x340

PNG Image

TopLeft 44x108  BottomRight 892x1360

EPS Image

TopLeft 26x768  Bottomright 552x36 

Layout

pagesize A4
at 27x33 field 40 (config/doctor)
at 27x40 field 40 (mystreet1fld/text)
at 20x47 field 60 (mystreet2fld/text)
at 20x54 field 60 (mycityfld/text)
at 32x62 field 40 (myfxfld/text)
at 30x69 field 40 (myregistrationfld/text)
at 110x26 field 40 (ssnfld/text)
at 110x33 field 40 (fnamesfld/text)
at 110x40 field 40 (surnamefld/text)
at 110x47 field 20 (dobfld/text)
at 100x55 field 40 (street1fld/text)
at 100x63 field 40 (street2fld/text)
at 100x70 field 40 (townfld/text)
at 100x79 field 40 (cityfld/text)
at 15x123 check data true
at 21x135 check data true
at 21x147 check data none
at 50x97 field 40 (miscell1fld/text)
at 105x330 field 40 (form now/date)