The OEM Master Adjustable Medical Punch MAT525M is designed to handle two, three, five, and seven-hole punches for special medical forms. This punch can drill 11/32" holes in up to 40 sheets at a time, making it suitable for high-volume use. It features an adjustable paper guide and a large-capacity chip tray for efficient operation. Constructed from heavy-gauge steel, this adjustable medical punch is built for durability and reliability.