Master Products Adjustable 5-hole Punch

Adjustable medical punch handles punched two, three, five and seven holes for special medical forms. Punch drills 2/32" holes in up to 40 sheets at a time. Design includes an adjustable paper guide and large-capacity chip tray. Adjustable medical punch comes with five punch heads and accepts seven. Punch is made from heavy-gauge steel.

Price: 116.85 from Zuma Office Supply US