This is the back panel for the ATS Medical Pouch Small, offered as a separate part. Why would you want that, you ask? Here's why: it lets you mount the platform on different rigs while being able to move a Medical Pouch Small to it. So if your duties change from being in one duty position to another and your load out has to change, you don't have to move the whole small medical pouch system; just the pouch gets moved to the extra back panel.
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