HOSPITAL BED REPORT
{var Title}
Date/Time:
{var DateTime}
{var IsExercise}
Name of Reporting Facility:
{var Facility}
Contact Person:
{var Contact}
Contact Phone Number:
{var Phone}
Contact Email Address:
{var Email}
Type
Available
Notes
Emergency Beds
{var Note1}
Pediatrics
{var Note2}
Medical / Surgery
{var Note3}
Psychiatry
{var Note4}
Burn
{var Note5}
Critical Care
{var Note6}
{var OtherType2}
{var Note7}
{var OtherType3}
{var Note8}
TOTAL:
DEFINITION: Physical Available Beds = Staffed + Un-staffed Beds
Comments:
{var Comments}
GPS Coordinates: Latitude:
{var mapLat} Longitude
: {var mapLon}
MGRS Coordinates: {var MGRS} Grid Square: {var Grid}
Version 9.8.2