Template:Medical Record: Difference between revisions
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(added T/E Rating) |
(changed patient reference number to the same number from the StarFleet Serial Number Register) |
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|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=== | ===LAST NAME, FIRST NAME MIDDLE NAME=== | ||
*'''Patient Reference Number:''' | *'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' (Serial Number) | ||
*'''Date of Birth:''' | *'''Date of Birth:''' | ||
**'''Age:''' {{age|2360|03|31}} | **'''Age:''' {{age|2360|03|31}} |
Revision as of 07:43, 7 May 2014
You can use this template to create a medical record for your character:
Example: Rahman, Roshanara/Medical Record |
LAST NAME, FIRST NAME MIDDLE NAME
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MEDICAL RECORD | ||
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PAST MEDICAL HISTORY
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PAST HOSPITALIZATIONS/SERIOUS ILLNESS
PAST SURGICAL HISTORY
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PSYCHIATRIC HISTORYSUBSTANCE USE HISTORY
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FAMILY MEDICAL HISTORY
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SOCIAL HISTORY
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PHYSICIANS' NOTES
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COUNSELORS' NOTES
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