A silver color metal and enamel device 1 1/8 inches (2.86 cm) in height overall consisting of a green heptagon point up bearing a silver sea lion holding in the upper paw a silver sword, the heptagon in front of a scarlet cross bearing upon and over the vertical arms a silver upright bamboo stalk and upon the horizontal arms a silver lightning flash, all in front of a silver Igorot (Luzon) spear extending diagonally upward to the left and a New Guinea club diagonally upward to the right; all encircled by a maroon scroll rolled back at the top and arched in back of the extended spear and club at the top and the bamboo in base inscribed in silver letters "TO SERVE WITH PRIDE."
Maroon and white (silver) are the colors used for the Army Medical Department. The organization's service in World War II for which it received the decoration - Philippine Presidential Unit Citation - is commemorated by the sea lion with sword, suggested by the presidential coat of arms. The campaign service honors for Luzon and New Guinea, Asiatic Pacific Theater, World War II are represented by the Igorot (Luzon) spear, carried for protection against evil spirits, and the New Guinea club. Scarlet, the color of the Meritorious Unit Commendation Award and the bamboo stalk here signify the Hospital's award for meritorious service in Vietnam. Additionally the bamboo together with the central green heptagon denotes the unit's assignment in the Central Highlands of Vietnam known as Montagnard country. Bamboo structures are most typical of the Montagnards and the green central area refers to the extensive forests of the Central Highlands. The heptagon and vertical stalk also allude to the numerical designation of the Hospital. The cross, a symbol of physical care, together with the lightning flash refers to the unit's swift action in performing emergency hospitalization services within the combat zone and provision for evacuation to other medical facilities when required.
The distinctive unit insignia was approved on 28 August 1969.