Standard Forms FSG 75 — FSC 7540

NSN
NIIN
Name
Details
01-458-2530
Printed Form
Form printed da 3949 "controlled substances record" 8 x 10-1/2 in.; da form no. 3949; title: controlled substances record
01-458-2541
Printed Form
Form printed da 3910 "death tag" 8 x 10-1/2 in.; da form no. 3910; title: death tag
01-458-2605
Printed Form
Form printed da 3875 "bulk drug order" 8 x 10-1/2 in.; da form no. 3875; title: bulk drug order
01-458-2771
Printed Form
Form printed controlled substance stock record da form 3862 8 x 10-1/2 in.; da form no. 3862; title: controlled substances stock record
01-458-2773
Printed Form
Form printed inpatient treatment record cover sheet da form 3647 8 x 10-1/2 in.; da form no. 3647; title: inpatient record cover sheet
01-458-2775
Printed Form
Form printed physical profile da form 3349 8 x 10-1/2 in.; da form no. 3349; title: physical profile
01-458-4709
Printed Form
Form printed af form 1480a "deployable medical record" 4 sides af form 1480a; "deployable medical record"; four sides
01-458-5491
Printed Form
Form printed da form 3444; "treatment record jacket - yellow folder"
01-458-5493
Printed Form
Form printed da form 3444; "treatment record jacket - red folder"
01-458-5495
Printed Form
Form printed da form 3444; "treatment record jacket - buff/beige folder"
01-458-5523
Printed Form
Form printed da form 3444; "treatment record jacket - gray folder"
01-458-5527
Printed Form
Form printed da form 3444-fl; "treatment record jacket - orange folder"
01-458-5528
Printed Form
Form printed da form 3444; "treatment record jacket - white folder"
01-458-5530
Printed Form
Form printed da form 3444; "treatment record jacket - brown folder"
01-458-5533
Printed Form
Form printed da form 3444; "treatment record jacket - pink folder"
01-458-5907
Printed Form
Form printed da form 3444; treatment record jacket - blue folder
01-460-8995
Printed Form
Form printed dd 1380 "field medical card" dd form 1380; "field medical card"; designed to be placed in forms packets for use by service personnel engaged in combat, humanitarian,
01-460-8999
Printed Form
Form printed af 3135 general purpose landscape af form 3135; general purpose, landscape; designed to be placed in forms packets for use by service personnel engaged in combat, humanitarian or peace-keeping missions
01-460-9002
Printed Form
Form printed af 3855 "in-flight nursing worksheet" af form 3855; "in-flight nursing worksheet" designed to be placed in forms packet for use by service personnel engaged in combat, humanitarian
01-469-1197
Instruction Patient Health Card
Card identification hospital inpatient sloted to wear on badge card is slotted to wear on hospital id badge; has pediatric medication dose
01-469-1208
Instruction Patient Health Card
Card identification hospital inpatient cardiac guidelines 4s slotted to wear on hospital id badge; quick reference review cards that have advanced cardiac life support guidelines
01-469-1219
Instruction Patient Health Card
Card identification hospital inpatient pediatric guidelines 2s slotted to wear on hospital id badge; quick reference review cards that have pediatric advanced life support guidelines
01-469-1221
Instruction Patient Health Card
Card identification hospital inpatient pediatric guidelines slotted to wear on hospital id badge; quick reference review cards that have pediatric advanced life support guidelines
01-469-1222
Instruction Patient Health Card
Card identification hospital inpatient spanish new parents slotted to wear on hospital id badge; quick reference review card that has information in spanish for new parents on male infant care
01-469-1224
Instruction Patient Health Card
Card identification hospital inpatient male infant care new pare slotted to wear on hospital id badge; quick reference review card that has information for new parents on male infant care
01-469-1225
Instruction Patient Health Card
Card identification hosp inpatient spanish female infant care slotted to wear on hospital id badge; quick reference review card that has information in spanish for new parents on female infant care
01-469-1227
Instruction Patient Health Card
Card identification hosp inpatient infant basic life support slotted to wear on hospital id badge; quick reference review card that has infant basic life support guidelines
01-469-1235
Instruction Patient Health Card
Card identification hosp inpatient advanced cardiac life support 4s slotted to wear on hospital id badge; quick reference review cards that have advanced cardiac life support guidelines
01-469-1242
Instruction Patient Health Card
Card identification hosp inpatient neonatal resuscitation slotted to wear on hospital id badge; quick reference review card that has neonatal resuscitation program guidelines
01-469-1247
Instruction Patient Health Card
Card identification hosp inpatient neonatal medication doses slotted to wear on hospital id badge; quick reference review card that has neonatal medication doses
01-469-1250
Instruction Patient Health Card
Card identification hosp inpatient pediatric medication doses slotted to wear on hospital id badge; has pediatric medication dose
01-469-1254
Instruction Patient Health Card
Card identification hosp inpatient aed guidelines slotted to wear on hospital id badge; quick reference review card that has a.e.d. guidelines
01-469-1260
Instruction Patient Health Card
Card identification hosp inpatient pediatric medication doses slotted to wear on hospital id badge; quick reference review card that has pediatric medication doses
01-469-1262
Instruction Patient Health Card
Card identification hosp inpatient adult basic life support slotted to wear on hospital id badge; quick reference review card that has adult basic life support guidelines
01-469-1282
Instruction Patient Health Card
Card identification hosp inpatient infant/child basic life supp slotted to wear on hospital id badge; quick reference review card that has infant/child basic life support guidelines
01-469-1288
Instruction Patient Health Card
Card instruction patient health chem/bio agents against soldier slotted to wear on hospital id badge; quick reference review cards that include the chemical
01-469-1291
Instruction Patient Health Card
Card identification hosp inpatient female infant care new parent slotted to wear on hospital id badge; quick reference review card that has information for new parents on female infant care
01-475-0707
Printed Form
8 1/2 x 11 in. detached from top stub, 4 pt snapout set; front only; chemical transfer sub 17 lbs.; pt 1 white, pt 2 canary, pt 3 pink, pt 4 goldenrod, black ink, red ink for copy designations
01-475-0708
Printed Form
8 1/2 x 11 in. detached from top stub, 4 pt snapout set; heat to head; chemical transfer sub 17 lbs.; pt 1 white, pt 2 canary, pt 3 pink, pt 4 goldenrod, black ink, red ink for copy designations
01-475-4306
Printed Form
8 1/2 x 11 in.; detached from top stub; 4 pt snapout set; front only; chemical transfer sub 17 lbs; pt 1 white cb, pt 2 white cfb, pt 3 white cfb, pt 4 white cf, black
01-475-4307
Printed Form
8 1/2 x 11 in.; detached from topstub; 4 pt snapout set; head to head; chemical transfer sub 17 lbs; pt 1 white cb, pt 2 white cfb, pt 3 white cfb, pt 4 white cf, black
01-475-4308
Printed Form
12 x 9 1/2 in. envelope; front only; light brown kraft; sub 32-38 lb; with top opening on 12 in. side
01-475-4309
Printed Form
12 x 9 1/2 in. envelope; front only; light brown kraft; sub 32-38 lb; with top opening on 12 in. side
01-476-0281
Instruction Patient Health Card
Card instruction patient health laminated white 3.5X5.5in 4s laminated, civilian chem/bio casualty survival cards; set of 4 cards consisting of 1 devoted to review of chemical agents that might be encountered; 2 devoted to a review of biological agents that might be encountered; 3 outlines detection
01-479-9728
Printed Form
01-479-9729
Printed Form
Folding vertically 3 1/2 in. from left edge of paper fastening, two wire stitch (saddle) on fold
01-500-4881
Printed Form
Shrink wrapped
01-509-5208
Printed Form
Serialed accountable form
01-523-4056
Printed Form
Form printed dd 2063 conus preparation record of preparation
01-523-4069
Printed Form
Form printed dd 2062 oconus preparation record of preparation
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