Hi kev
we have just supplied something similar.we made a bespoke job for them..
brushed gold material, engraved at top with surgery’s name. then bonded several gold backing plates to this and supplied about a dozen individual name plates , engraved with various names. the receptionist just slides the relevent name into the backing plate. we also engraved the words in/out at the end and supplied a blank piece to fit over this..
i would post a picture but Ive a fault with our digital camera and lost the lot!!
Jon