b. DA Form 3153 (MSA Patient Ledger Card). The Patient Ledger Card (see
figure 1-8) is imprinted with the admitting plate and is used to account for charges and to
bill patients who pay portions of their care, treatment, or subsistence. Normally, every
patient, except retired enlisted personnel and newborns with their mother, pay some
portion of the charges.
Figure 1-8. DA Form 3153 (MSA Patient Ledger Card).