These punched laser cut sheets are in a health care format with 7 symmetrical holes. For use in laser printers, plain paper fax machines and ink jet printers. White color in a standard size paper (8 ½" x 11"). The edge of the sheet to the edge of hole is 1/4". Hole size: 5/16" round. Reamed wrapped with 500 sheets per ream and 5 reams per case.