GREEN
MOON
GAMESTM TCCC CARD
EVAC: Urgent: Priority: Routine:
NAME (Last, First): STRESS: /
SEX: M F O DATE (DD-MMM-YY): TIME:
SERVICE: UNIT: ALLERGIES:
Mechanism on Injury: (X all that apply)
Asphyxia Bleeding Blunt Force Fall Fire & Explosives
Gore Gunshot Other:
Injury: (Mark injuries with an X)
TQ: R Arm TQ: L Arm
TYPE: TYPE:
TIME: TIME:
TQ: R Leg TQ: L Leg
TYPE: TYPE:
TIME: TIME:
Signs & Symptoms: (Fill in the blank)
This product is based on the
Mothership® Sci-Fi Horror Role Playing
Game, published by Tuesday Knight
Games. This product is published under
license. MOTHERSHIP® is a registered
trademark of Tuesday Knight Games.
All rights reserved. For additional
information, visit www.
tuesdayknightgames.com or contact
[email protected].
M
™
FOR USE WITH THE
MOTHERSHIP R
SCI FI HORROR RPG 1E
© Mathieu Baguet 2025