Abstract: A multi-part (e.g. three part) business form is particularly suited for use in dispensing sample drugs where it is necessary to have a label to be placed on a sample medication container, a like label to be placed on the patient's chart, and a record sheet, to be placed in the sample medication distribution log. First and second top and intermediate, respectively, label parts each have a face ply having pressure sensitive adhesive on a back surface and in engagement with an adhesive release coated liner ply, and a third, bottom, paper part underlies the first and second parts. Common non-variable indicia is imaged on the first part face ply, the second part face ply, and the third part, and the parts are releasably connected together (e.g. by permanent adhesive and a line of weakness, adjacent the top edges of the parts) so that at least some of the common indicia is in alignment. Carbonless coatings transfer indicia imaged on the first part face ply to the second part face ply and to the third part.