Name/Title
Form, OrderEntry/Object ID
2008.004.0017Scope and Content
Military Medical and Dental Appointment Slip
DA Form 1 Mar 45 8-97 (Formerly WDAG0) 16-43471-2 GPO
Hospital or Dispensary: C-9 E.E.N.T. Clinic
Name: Wold, Douglas, ASN: blank, Grade: blank,
Organization or Ward Number: blank,
Appt. Date: Mon, 29 Oct [crossed out] written in: 1 Nov
time 0800
Place: C-9 E.E.N.T. Clinic
Signature: P West
white paper with black ink
size: 3" x 5"Collection
Benicia Historical Museum Collection