Marcus Dickens/Medical Record: Difference between revisions

From 118Wiki
Jump to navigation Jump to search
(Medical record for Marcus Dickens)
 
(Initial Medical Report)
Line 3: Line 3:
|style="background:teal;" width="100"|
|style="background:teal;" width="100"|
|width="600" colspan=2|[[File:Starfleet Medical.png|right|150px|link=Category:Medical Records]]
|width="600" colspan=2|[[File:Starfleet Medical.png|right|150px|link=Category:Medical Records]]
===LAST NAME, FIRST NAME MIDDLE NAME===
===DICKENS, MARCUS===
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' EZ - 123 - 456
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' MD - 190 - 779
*'''Date of Birth:'''
*'''Date of Birth:'''235907.19
**'''Age:''' {{age|2360|03|31}}
**'''Age:''' {{age|2359|07|19}}
*'''Sex:'''
*'''Sex:''' Male
*'''Species:'''
*'''Species:''' [[Angosian]]/[[Betazoid]]
|-
|-
|style="background:teal; border-radius: 0 0 0 14px; border:0px solid #AFA3BF"|
|style="background:teal; border-radius: 0 0 0 14px; border:0px solid #AFA3BF"|
Line 16: Line 16:
|style="background:teal; border-radius: 14px 0 0 0; border:0px solid #AFA3BF"|
|style="background:teal; border-radius: 14px 0 0 0; border:0px solid #AFA3BF"|
|colspan=2|
|colspan=2|
*'''Height:''' 178 cm (5'10")
*'''Height:''' 182 cm (5'9")
*'''Weight:''' 73 kilos (160 lbs)
*'''Weight:''' 79 kilos ( 174 lbs)
*'''Blood Type:'''
*'''Blood Type:''' B
*'''[[T/E Rating]]:'''
*'''[[T/E Rating]]:''' 3/4
|-
|-
|style="background:teal;"|
|style="background:teal;"|
|colspan=2|
|colspan=2|
===PAST MEDICAL HISTORY===
===PAST MEDICAL HISTORY===
*'''Chronic Illnesses:'''
*'''Chronic Illnesses:''' None
*'''Medications:'''
*'''Medications:''' None
*'''Allergies and Reactions:'''
*'''Allergies and Reactions:''' Not known
*'''Sexual/Reproductive History:'''
*'''Sexual/Reproductive History:''' Married with a Vukvan woman, no children.
|-
|-
|style="background:teal;"|
|style="background:teal;"|
|colspan=2|
|colspan=2|
===PAST HOSPITALIZATIONS/SERIOUS ILLNESS===
===PAST HOSPITALIZATIONS/SERIOUS ILLNESS===
*'''SD 237005.05:'''
*'''SD :'''
*'''SD 237007.05:'''
*'''SD :'''


===PAST SURGICAL HISTORY===
===PAST SURGICAL HISTORY===
*'''SD 237005.05:'''
*'''SD 2388:''' Implant of cybernetic replacement of left hand and a third of forearm.
*'''SD 237007.05:'''
*'''SD :'''
|-
|-
|style="background:teal;"|
|style="background:teal;"|
Line 44: Line 44:


===SUBSTANCE USE HISTORY===
===SUBSTANCE USE HISTORY===
*'''Alcohol:'''
*'''Alcohol:''' Not known
*'''Recreation Drugs:'''
*'''Recreation Drugs:''' Not known
*'''Other:'''
*'''Other:'''
|-
|-
Line 51: Line 51:
|colspan=2|
|colspan=2|
===FAMILY MEDICAL HISTORY===
===FAMILY MEDICAL HISTORY===
*'''Mother:'''
*'''Mother:''' Betazoid
*'''Father:'''
*'''Father:''' Angosian (War Veteran)
*'''Siblings:'''
*'''Siblings:'''
|-
|-
Line 58: Line 58:
|colspan=2|
|colspan=2|
===SOCIAL HISTORY===
===SOCIAL HISTORY===
*'''Marital status:'''
*'''Marital status:''' Married
*'''Children:'''
*'''Children:''' None
*'''Occupation/Assignment:'''
*'''Occupation/Assignment:''' First Officer
*'''Diet:'''
*'''Diet:'''  
*'''Exercise:'''
*'''Exercise:''' Regular fencing and riding horses as well as hand to hand combat.
|-
|-
|style="background:teal;" colspan=3 height=4|
|style="background:teal;" colspan=3 height=4|

Revision as of 23:08, 7 May 2014

Starfleet Medical.png

DICKENS, MARCUS

MEDICAL RECORD
  • Height: 182 cm (5'9")
  • Weight: 79 kilos ( 174 lbs)
  • Blood Type: B
  • T/E Rating: 3/4

PAST MEDICAL HISTORY

  • Chronic Illnesses: None
  • Medications: None
  • Allergies and Reactions: Not known
  • Sexual/Reproductive History: Married with a Vukvan woman, no children.

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

  • SD :
  • SD :

PAST SURGICAL HISTORY

  • SD 2388: Implant of cybernetic replacement of left hand and a third of forearm.
  • SD :

PSYCHIATRIC HISTORY

SUBSTANCE USE HISTORY

  • Alcohol: Not known
  • Recreation Drugs: Not known
  • Other:

FAMILY MEDICAL HISTORY

  • Mother: Betazoid
  • Father: Angosian (War Veteran)
  • Siblings:

SOCIAL HISTORY

  • Marital status: Married
  • Children: None
  • Occupation/Assignment: First Officer
  • Diet:
  • Exercise: Regular fencing and riding horses as well as hand to hand combat.

PHYSICIANS' NOTES

  • Medical Officer:
  • Medical Assessment:

COUNSELORS' NOTES

  • Counselor:
  • Psychological Assessment:
Retrieved from "https://wiki.starbase118.net/wiki/index.php?title=Marcus_Dickens/Medical_Record&oldid=149150"