Line 1
Location/grid
Line 2
Call sign/frequency
Line 3
Patients by presidence
Line 4
Equipment needed
Line 5
Patients by type
Line 6
Security of pick-up sight
Line 7
Method of marking
Line 8
Nationality/status of patient
Line 9
CBRN contamination/terrain brief
Z-mist
Zap ID
Mechanism of injury
Injury sustained
Signs/symptoms
Treatment rendered/time