e. Block 16. Disposition from the medical treatment facility is filled out using the
same procedures as block 10 on the front of the form. An illustration of block 16 of the
Field Medical Card is shown in figure 7-15.
RETURNED TO DUTY / RETOUR A L'UNITE
16. DISPOSITION /
TIME/HEURE
DISPOSITION
EVACUATED/EVACUE
DECEASED/DECEDE
Figure 7-15. Block 16 of the FMC.
f. Block 17. Block 17 is completed by the United Ministry Team. The
appropriate box of the service provided is checked and the chaplain providing the
service signs the bottom of the block. An illustration of block 17 of the Field Medical
Card is shown in figure 7-16.
BAPTISM/BAPTISE
PRAYER/PRIERE
17. RELIGIOUS SERVICES
SERVICES RELIGIEUX
ANOITING/ONCTION
COMMUNION/COMMUNION
CONFESSION/CONFESSION
OTHER/AUTRE
CHAPLAIN / CHAPILAIN
Figure 7-16. Block 17 of the FMC.
7-7.
AUTHORIZED ABBREVIATIONS
Listed below are some of the abbreviations authorized to be used on the Field
Medical Card and other medical forms.
a.
Abraded wound--Abr W
b.
Contused wound--Cont W
c.
d.
Fracture (compound) open comminuted--FCC
e.
Fracture simple (closed)--FS
f.
Gun Shot Wound---GSW
g.
Lacerated wound--LW
IS0871
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