Varu Novin/Medical Record: Difference between revisions

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===LAST NAME, FIRST NAME MIDDLE NAME===
===VARU, NOVIN===
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' EZ - 123 - 456
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' DE - 959 - 746
*'''Date of Birth:'''
*'''Date of Birth:''' 236404.08
**'''Age:''' {{age|2360|03|31}}
**'''Age:''' {{age|2364|04|08}}
*'''Sex:'''
*'''Sex:''' Male
*'''Species:'''
*'''Species:''' [[Bajoran]]/[[Trill]]-Hybrid
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*'''Height:''' 178 cm (5'10")
*'''Height:''' 180 cm (5'11")
*'''Weight:''' 73 kilos (160 lbs)
*'''Weight:''' 75 kilos (165 lbs)
*'''Blood Type:'''
*'''Blood Type:''' B
*'''[[T/E Rating]]:'''
*'''[[T/E Rating]]:''' T0/E0
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===PAST MEDICAL HISTORY===
===PAST MEDICAL HISTORY===
*'''Chronic Illnesses:'''
*'''Chronic Illnesses:''' None
*'''Medications:'''
*'''Medications:''' None
*'''Allergies and Reactions:'''
*'''Allergies and Reactions:''' Unknown
*'''Sexual/Reproductive History:'''
*'''Sexual/Reproductive History:''' Unknown
*'''Trill Symbiosis Status:''' Unjoined, Rated unfit for joining because of unique hybrid physiology
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===PAST HOSPITALIZATIONS/SERIOUS ILLNESS===
===PAST HOSPITALIZATIONS/SERIOUS ILLNESS===
*'''SD 237005.05:'''
*'''Unknown'''
*'''SD 237007.05:'''


===PAST SURGICAL HISTORY===
===PAST SURGICAL HISTORY===
*'''SD 237005.05:'''
*'''None'''
*'''SD 237007.05:'''
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===PSYCHIATRIC HISTORY===
===PSYCHIATRIC HISTORY===
 
*'''Unknown'''
===SUBSTANCE USE HISTORY===
===SUBSTANCE USE HISTORY===
*'''Alcohol:'''
*'''Alcohol:''' Infrequent, mostly synthehol
*'''Recreation Drugs:'''
*'''Recreation Drugs:''' None
*'''Other:'''
*'''Other:''' Unknown
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===FAMILY MEDICAL HISTORY===
===FAMILY MEDICAL HISTORY===
*'''Mother:'''
*'''Mother:''' Ezri Varu ''(Trill)''
*'''Father:'''
*'''Father:''' Varu Antos ''(Bajoran)''
*'''Siblings:'''
*'''Siblings:''' None
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===SOCIAL HISTORY===
===SOCIAL HISTORY===
*'''Marital status:'''
*'''Marital status:''' Single
*'''Children:'''
*'''Children:''' None
*'''Occupation/Assignment:'''
*'''Occupation/Assignment:''' Medical Officer
*'''Diet:'''
*'''Diet:''' Replicated nutritional supplements
*'''Exercise:'''
*'''Exercise:''' Unknown
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Latest revision as of 01:01, 19 August 2014

Starfleet Medical.png

VARU, NOVIN

MEDICAL RECORD
  • Height: 180 cm (5'11")
  • Weight: 75 kilos (165 lbs)
  • Blood Type: B
  • T/E Rating: T0/E0

PAST MEDICAL HISTORY

  • Chronic Illnesses: None
  • Medications: None
  • Allergies and Reactions: Unknown
  • Sexual/Reproductive History: Unknown
  • Trill Symbiosis Status: Unjoined, Rated unfit for joining because of unique hybrid physiology

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

  • Unknown

PAST SURGICAL HISTORY

  • None

PSYCHIATRIC HISTORY

  • Unknown

SUBSTANCE USE HISTORY

  • Alcohol: Infrequent, mostly synthehol
  • Recreation Drugs: None
  • Other: Unknown

FAMILY MEDICAL HISTORY

  • Mother: Ezri Varu (Trill)
  • Father: Varu Antos (Bajoran)
  • Siblings: None

SOCIAL HISTORY

  • Marital status: Single
  • Children: None
  • Occupation/Assignment: Medical Officer
  • Diet: Replicated nutritional supplements
  • Exercise: Unknown

PHYSICIANS' NOTES

  • Medical Officer:
  • Medical Assessment:

COUNSELORS' NOTES

  • Counselor:
  • Psychological Assessment:
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