f. Optional Forms. Local procedures may require that additional forms be
prepared for each patient admitted. One example of an optional form is DA Form 4160
(Patient's Personal Effects and Clothing Record).
g. Bed Card (see figure 1-12). A 3-inch by 5-inch card is prepared on a bulletin-
type (large type) typewriter or is handprinted to show each inpatient's name, grade or
status, uniformed service, and date of admission. This card is placed in a card holder at
the foot of the patient's bed.
THOMAS K. BERRY
MSG
ARMY
6 JULY 88
Figure 1-12. Sample bed card.
1-12. SUMMARY
At this point, the admitting clerk has completed the required paperwork and the
patient is ready to proceed to the ward. The clerk pulls the last copy of DA Form 3647 and
sends it to the ward with the patient. Other forms may also be sent with the patient to the
ward such as the bed card, the inpatient identification card, and DA Form 4029. For active
duty patients, the admitting clerk notifies the unit commander or his representative. The
nine-line plate or a 3-inch by 5-inch card prepared from the nine-line plate (called a patient
data card (PDC)) is filed in the AAD file for use in preparing the AAD report the next
morning (any time after 2400 hours). The AAD report is discussed in the next section of
this lesson. Briefly stated, the steps in admission are:
a. Check the need for admission.
b. Check the identification card and patient eligibility.
c. Assign a register number.
d. Complete DA Form 2985, (Admission and Coding Information Form).
MD0752
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