LINE 1 -- DATE AND TIME______________________________(DTG)
LINE 2 -- UNIT________________________________________(Unit Making Report)
LINE 3 -- DPT & RTN DTG ______________________________(Patrol Departure and Return DTG)
LINE 4 -- ROUTE ______________________________________(Patrol Route (if Applicable))
LINE 5 -- CHECK POINTS ______________________________(Check Points Patrol Route Will Follow)
LINE 6 -- RESULTS ____________________________________(Results (if Specified in Mission Task and Purpose))
LINE 7 -- CONDITION OF PATROL_______________________(Status Report of Patrol, Friendly Losses)
LINE 8 -- SALUTE______________________________________(Enemy Encountered, SALUTE)
LINE 9 -- BDA ENEMY__________________________________(Battle Damage Assessment Enemy)
LINE 10 -- ROUTE RECON RPT___________________________(Description of Terrain, Route Recon Report, Correction to Maps (if Applicable))
LINE 11 -- NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report)
LINE 12 -- AUTHENTICATION___________________________(Report Authentication)