Transportation Record Date: Incident Location:_ Pt Name Pt Pt Gender Patient Status Hospital Destination Time Off- Ambulance & Age Scene Unit ID  Red Yellow Male Green Black  Female  Male Red Yellow Green Black  Female  Male Red Yellow Green Black  Female  Red Yellow Male Black  Female  Red Yellow Male Green Black  Female  Male Red Yellow Green Black  Female  Red Yellow Male Green Black  Female  Red Yellow Male Green Black  Female  Male Red Yellow Green Black  Female  Male Red Yellow Green Black  Female  Red Yellow Male Green Black  Female  Red Yellow Male Green Black  Female Print Transportation Officer/Recorders Name - 52 -
Transportation Record Date: Incident Location:_ Ambulance & Unit ID Pt Name Pt Age Pt Gender Patient Status Hospital Destination Time Off- Scene  Male  Female Red Yellow Green Black  Male  Female Red Yellow Green Black  Male  Female Red Yellow Green Black  Male  Female Red Yellow Black  Male  Female Red Yellow Green Black  Male  Female Red Yellow Green Black  Male  Female Red Yellow Green Black  Male  Female Red Yellow Green Black  Male  Female Red Yellow Green Black  Male  Female Red Yellow Green Black  Male  Female Red Yellow Green Black  Male  Female Red Yellow Green Black Print Transportation Officer/Recorders Name - 52 -