h. Block 28. Enter the time and date the patient was dispositioned (transferred,
died, or RTD).
i. Block 30. Make no entries in the block. The block, when used, is completed
by a chaplain. If entries are made, the chaplain making the entries must sign the form
in the space provided.
j. Block 31. Mark the appropriate diet box, if applicable.
k. Block 29. Make sure the FMC is signed by the medical officer in charge of
the MTF, by an AMEDD officer, or by an enlisted person designated by an AMEDD
officer. The person signing should review all entries on the form, enter his signature,
grade, and organization in the block.
SUPPLEMENTAL FIELD MEDICAL CARD
If additional space is required to record information (for example, additional
treatment needs to be recorded and Block 32 has been filled), initiate a supplemental
a. Write "FMC number two" in the upper right corner of the supplemental card.
b. Complete Blocks 1, 2, and 3 of the supplemental card. Use the information
on the first card to complete these blocks.
c. Enter the additional information.
d. Attach the supplemental card to the original card.
e. If additional supplemental cards are needed, repeat the procedures given
above. In step a, enter the appropriate card number.
FINAL DISPOSITION OF THE FIELD MEDICAL CARD
a. If the casualty is treated as an inpatient at a MTF, the original FMC becomes
part of the casualty's ITR.
b. If the casualty is treated as an outpatient, the original FMC will eventually be
filed in the casualty's HREC or OTR.
c. If the casualty is CRO, the original FMC is dispositioned IAW AR 40-66.
d. The duplicate (carbon) copies of the form are dispositioned IAW AR 340-18.