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Use to report information and combat actions obtained on mounted and dismounted patrols. Reference: FM 17-98, FM 17-95, FM 7-92, and FM 34-3.

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)

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