LINE 1 -- DATE AND TIME______________________________(DTG)
LINE 2 -- UNIT________________________________________(Unit Making Report)
LINE 3 -- LOCATION___________________________________(UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator)
LINE 4 -- STATUS______________________________________(Number of Operational Cots, Unoccupied Cots, Number of Cots Uploaded)
LINE 5 -- PATIENTS____________________________________(Number of Patients)
LINE 6 -- PROJECTED LOCATIONS_______________________(Anticipated Operations in the Next 24 Hours; Anticipated Opening and Closing Times at New Locations)
LINE 7 -- COMBAT HEALTH LOGISTICS__________________(Number of Days Class
VIII Blood OH)
LINE 8 -- EVACUATION ASSETS ________________________(Availability and Operational Capacity of Evacuation
Assets)
LINE 9 -- NARRATIVE__________________________________(Free Text for Additional Information Required for Clarification of Report
LINE 10 -- AUTHENTICATION___________________________(Report Authentication)