MCI

Mass Casualty Incident

Incident Data

Incident No

Governorate ID

Station ID

Incident Type

Incident Date

Incident Location

Incident Time

Patient Triage Tag Number

Gender

Age

Category (Card Color)

Mode of Transport

Time of Transport

Ambulance Plate

Health Care Facility

Black Handed Over

Patient Triage Tag Number	Gender		Age	Category (Card Color)		Mode of Transport		Time of Transport	Ambulance Plate			Receiving Health Facility		Black Handed Over	Action