Model: DA FORM 3647

Printed Form

Special Features:

8 x 10-1/2 in.; da form no. 3647; title: inpatient record cover sheet

Properties:

Identification Designator
Da form 3647
Document Title
Inpatient treatment record cover sheet
Part Name Assigned By Controlling Agency
Form printed inpatient treatment record cover sheet da form 3647
NSN
7540-01-458-2773
Part Number
DA FORM 3647
Description
Form,printed
CAGE
4W874

A printed or typed sheet form document with blank space or spaces for insertion of specific information. Excludes card, tabulating, electric accounting machine; paper, tabulating machine, continuous flat fold; paper, graph; indicating slip, dictating machine; envelope (as modified); label; chart (as modified) and tag (as modified).

Part DA FORM 3647 NSN 7540-01-458-2773

INC
FIIG
Concept No.
App. Key
Cond. Code
Status
INC:
05403
FIIG:
T393-D
Concept No.:
App. Key:
DE
Cond. Code:
2
Status:
A

Material Classification

Hazardous material, precious metals, criticality, enviroment, and electrostatic discharge indicators
HMIC
PMIC
ESD/EMI
ENAC
MMAC
CRITL
HMIC:
N
PMIC:
A
ESD:
ESD:
MMAC:
CRITL:
X

Packaging & Shipping

Est. Pack Size
Est. Pack Weight
Est. Item Weight
Est. Item Dim.
Pack Size:
--
Paclk Weight:
--
Item Weight:
--
Item Dim:
--
OPI
SPI No.
SPI Rev.
SPC Mkg.
LVL A
LVL B
OPI:
M
SPI No.:
MPPWN00001
SPI Rev.:
SPC Mkg:
ZZ
LVL_A:
Z
LVL_B:

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Schedule B and Export
  • Schedule B: 4911990000
  • SITC: 89289
  • End Use: Books, printed matter
  • NAICS: 323111
  • USDA: 1

Freight Class: Printed matter, nesoi

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