In First Blood is mentioned:
1 Medal of Honor
Per dialogue in Rambo: First Blood Part II, during his Vietnam era service, Rambo was awarded:
2 Silver Star
4 Bronze Stars for Valor
4 Purple Heart
1 Distinguished Service Cross
1 Medal of Honor
In a deleted scene from Rambo III, Rambo's "Class A" uniform can clearly be seen with the following 13 ribbons:
Medal of Honor - Awarded two and refused another
Army Distinguished Service Medal
Distinguished Flying Cross
Soldier's Medal
Bronze Star
Purple Heart
Air Medal
Combat Action Ribbon
Vietnam Service Medal
Prisoner of War Medal
Army Service Ribbon
Vietnam Wound Medal
Vietnam Campaign Medal
Various special duty badges can also be seen on Rambo's "Class A" uniform, including:
Combat Infantryman Badge
Aircraft Crewman Badge
Senior Combat Parachutist Badge
Expert Weapons Qualification Badge