| Parent File | Name | Number | Package |
|---|---|---|---|
| STATION ORDER(#791810) | AUTHORIZED HEARING AIDS | 791810.0301 | Remote Order Entry System |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | MODEL | 0;1 | FREE TEXT |
|
| .02 | MAKE | 0;2 | FREE TEXT |
|
| .03 | ISSUE DATE | 0;3 | DATE |
|
| .04 | SERIAL NUMBER | 0;4 | FREE TEXT |
|
| .05 | STATION | 0;5 | FREE TEXT |
|
| .06 | BATTERY | 0;6 | FREE TEXT |
|
| .07 | EAR | 0;7 | SET |
|
| .08 | DATE AIDS AUTHORIZED | 0;8 | DATE |
|