Airman 1st Class Kenneth Ledesma, 28th Medical Support Squadron medical records technician, files medical records at Ellsworth Air Force Base, S.D., Sept. 6, 2013. Outpatient records technicians ensure more than 40,000 medical files are up to date at all times. (U.S. Air Force photo by Airman 1st Class Alystria Maurer/Released)