Ben Livingston/Medical Record: Difference between revisions

(Created page with "{{subst:Medical Record}} Category:Ben Livingston Category:Medical Records")
 
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===
===LIVINGSTON, BENJAMIN HAROLD===
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' EZ - 123 - 456
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' BW - 250 - 197
*'''Date of Birth:'''
*'''Date of Birth:''' 236004.21
**'''Age:''' {{age|2360|03|31}}
**'''Age:''' {{age|2360|03|31}}
*'''Sex:'''
*'''Sex:''' Male
*'''Species:'''
*'''Species:''' Terran
|-
|-
|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:''' 1.7 m (5'7")
*'''Weight:''' 73 kilos (160 lbs)
*'''Weight:''' 64 kg (141 lbs)
*'''Blood Type:'''
*'''Blood Type:''' A Negative
*'''[[T/E Rating]]:'''
*'''[[T/E Rating]]:''' None
|-
|-
|style="background:teal;"|
|style="background:teal;"|
|colspan=2|
|colspan=2|
===PAST MEDICAL HISTORY===
===PAST MEDICAL HISTORY===
*'''Chronic Illnesses:'''
*'''Chronic Illnesses:'''