UI Health Care



|U of I Hospitals & Clinics | |

|Food and Nutrition Services |Deli Sandwich Order Form |

|Standard Sandwich: 3 slices – meat, cheese or combination OR 3 oz of salad filling or hummus (additional charge |

|for orders of more than 3 slices of meat/cheese or cheese with salad filling) |

|Circle Your Selections |

| | |Meat/Cheese/Salad of the Day/Hummus |Toppings/ |

|Roll/Bun/Bread |Spreads | |Sides |

| | | | |

|Sourdough Hoagie |Margarine | |Lettuce |

| | |# of slices | |

|Wheat Hoagie |Hummus | |Sliced Onions |

| | | | |

|Whole Wheat Bread |Low Cal Salad | |Sliced Tomatoes |

| |Dressing |Roast Turkey | |

|Rye Bread | |1 |Dill Pickle Slices |

| |Mayonnaise |2 | |

|Wheat Wrap | |3 |Jalapeno Peppers |

| |Dill Spread | | |

|100 Cal Deli Flat | | |Salt |

| |Yellow Mustard |Smoked Ham | |

| | |1 |Pepper |

| |Dijon Mustard |2 | |

| | |3 |Oregano |

| |Oil and Vinegar | | |

| | | |Dill Pickle Spear |

| | |Roast Beef | |

| | |1 | |

| | |2 | |

| | |3 | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | |Cheddar Cheese | |

| | |1 | |

| | |2 | |

| | |3 | |

| | | | |

| | | | |

| | |Swiss Cheese | |

| | |1 | |

| | |2 | |

| | |3 | |

| | | | |

| | | | |

| | |Provolone Cheese | |

| | |1 | |

| | |2 | |

| | |3 | |

| | | | |

| | | | |

| | |Pepper Jack Cheese | |

| | |1 | |

| | |2 | |

| | |3 | |

| | | | |

| | | | |

| | | | |

| | | | |

| | |Salad of the Day | |

| | | | |

| | | | |

| | | | |

| | |Hummus | |

| | | | |

| | | | |

|U of I Hospitals & Clinics | |

|Food and Nutrition Services |Deli Sandwich Order Form |

|Standard Sandwich: 3 slices – meat, cheese or combination OR 3 oz of salad filling or hummus (additional charge |

|for orders of more than 3 slices of meat/cheese or cheese with salad filling) |

|Circle Your Selections |

| | |Meat/Cheese/Salad of the Day/Hummus |Toppings/ |

|Roll/Bun/Bread |Spreads | |Sides |

| | | | |

|Sourdough Hoagie |Margarine | |Lettuce |

| | |# of slices | |

|Wheat Hoagie |Hummus | |Sliced Onions |

| | | | |

|Whole Wheat Bread |Low Cal Salad | |Sliced Tomatoes |

| |Dressing |Roast Turkey | |

|Rye Bread | |1 |Dill Pickle Slices |

| |Mayonnaise |2 | |

|Wheat Wrap | |3 |Jalapeno Peppers |

| |Dill Spread | | |

|100 Cal Deli Flat | | |Salt |

| |Yellow Mustard |Smoked Ham | |

| | |1 |Pepper |

| |Dijon Mustard |2 | |

| | |3 |Oregano |

| |Oil and Vinegar | | |

| | | |Dill Pickle Spear |

| | |Roast Beef | |

| | |1 | |

| | |2 | |

| | |3 | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | |Cheddar Cheese | |

| | |1 | |

| | |2 | |

| | |3 | |

| | | | |

| | | | |

| | |Swiss Cheese | |

| | |1 | |

| | |2 | |

| | |3 | |

| | | | |

| | | | |

| | |Provolone Cheese | |

| | |1 | |

| | |2 | |

| | |3 | |

| | | | |

| | | | |

| | |Pepper Jack Cheese | |

| | |1 | |

| | |2 | |

| | |3 | |

| | | | |

| | | | |

| | | | |

| | | | |

| | |Salad of the Day | |

| | | | |

| | | | |

| | | | |

| | |Hummus | |

| | | | |

| | | | |

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