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I've been searching through the current RTF issues and status and wasn't able to find this, apologies if I missed it!
It would be nice to add a page layout option for RTF files. Often, clinical RTFs will be laid out in a landscape format and it would be good to have that option.
I took a look at the SAS produced RTF files and found the following line that I believe contains the width and height of the page (as well as margin sizes and other information):
\widowctrl\ftnbj\aenddoc\formshade\viewkind1\viewscale100\pgbrdrhead\pgbrdrfoot\fet0\paperw15840\paperh12240\margl1080\margr540\margt1080\margb540
It looks like the "paperw" and "paperh" tags specify the layout (here they are laid out to 11 by 8.5).