Drills holes in up to 40 sheets at a time Punches, 2, 3, 5 or 7 holes for special medical forms. Adjustable medical punch comes with 5 punch heads and accepts 7. Includes an adjustable paper guide and large-capacity chip tray. Made from heavy-gauge steel. Master Caster Paper Punches, Cutters & Folding Machines part of a large selection of office supplies. Made by Master Caster.