Alexander Richards/Medical Reports: Difference between revisions

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|width="600" colspan=2|[[File:Starfleet Medical.png|right|150px|link=Category:Medical Records]]
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===LAST NAME, FIRST NAME MIDDLE NAME===
===LAST NAME, FIRST NAME MIDDLE NAME===
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' EZ - 123 - 456
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' IA - 122 - 737
*'''Date of Birth:'''
*'''Date of Birth:''' 236111.06
**'''Age:''' {{age|2360|03|31}}
**'''Age:''' {{age|2361|11|06}}
*'''Sex:'''
*'''Sex:''' Male
*'''Species:'''
*'''Species:''' Terran
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*'''Height:''' 178 cm (5'10")
*'''Height:''' 188 cm (6'2")
*'''Weight:''' 73 kilos (160 lbs)
*'''Weight:''' 95 kilos (210 lbs)
*'''Blood Type:'''
*'''Blood Type:''' A
*'''[[T/E Rating]]:'''
*'''[[T/E Rating]]:''' 0
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===PAST MEDICAL HISTORY===
===PAST MEDICAL HISTORY===
*'''Chronic Illnesses:'''
*'''Chronic Illnesses:''' Paralyzed owing to alien pathogen attached to his lower nervous system. No known cure.
*'''Medications:'''
*'''Medications:''' None
*'''Allergies and Reactions:'''
*'''Allergies and Reactions:''' None
*'''Sexual/Reproductive History:'''
*'''Sexual/Reproductive History:''' One partner, has had one child. Not currently sexually active.
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===PSYCHIATRIC HISTORY===


===SUBSTANCE USE HISTORY===
*'''Alcohol:'''
*'''Recreation Drugs:'''
*'''Other:'''
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===COUNSELORS' NOTES===
*'''Counselor:'''
*'''Psychological Assessment:'''
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__NOTOC__
[[Category:Medical Records]]




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[[Category:Alexander Richards|Medical Records]]
[[Category:Alexander Richards|Medical Records]]
[[Category:Medical Records]]