William Haase/Medical Record: Difference between revisions
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Adam Haase (talk | contribs) (Created page with "{{Medical Record LCARS |SERIAL NUMBER= AH-755-003 |BIRTHYEAR= 2370 |BIRTHMONTH= 09 |BIRTHDATE= 30 |SEX= Male |SPECIES= Human |HEIGHT= 1.8 meters tall (6'0") |WEIGHT= 81 Ki...") |
Adam Haase (talk | contribs) mNo edit summary |
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{{Medical Record LCARS | {{Medical Record LCARS | ||
|SERIAL NUMBER= AH-755-003 | |SERIAL NUMBER= AH-755-003 | ||
|BIRTHYEAR= | |BIRTHYEAR= 2358 | ||
|BIRTHMONTH= 09 | |BIRTHMONTH= 09 | ||
|BIRTHDATE= 30 | |BIRTHDATE= 30 | ||
|SEX= Male | |SEX= Male | ||
|SPECIES= [[ | |SPECIES= [[Vulcan]] | ||
|HEIGHT= 1.8 meters tall (6'0") | |HEIGHT= 1.8 meters tall (6'0") | ||
|WEIGHT= 81 Kilograms (150 lbs) | |WEIGHT= 81 Kilograms (150 lbs) | ||
|BLOOD TYPE= A+ | |BLOOD TYPE= A+ | ||
|T/E RATING= | |T/E RATING= T5, E5 | ||
|CHRONIC ILLNESSES= None | |CHRONIC ILLNESSES= None | ||
|MEDICATIONS= None | |MEDICATIONS= None | ||
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|MOTHER MEDICAL HISTORY= High blood pressure | |MOTHER MEDICAL HISTORY= High blood pressure | ||
|FATHER MEDICAL HISTORY= Stroke(recovered) | |FATHER MEDICAL HISTORY= Stroke(recovered) | ||
|SIBLING MEDICAL HISTORY= | |SIBLING MEDICAL HISTORY= None | ||
|MARITAL STATUS & SPOUSE= Single | |MARITAL STATUS & SPOUSE= Single | ||
|CHILDREN= None | |CHILDREN= None | ||
|OCCUPATION= | |OCCUPATION= Engineer | ||
|DIET= Vegetarian | |DIET= Vegetarian | ||
|EXERCISE= Running, 3 times a week | |EXERCISE= Running, 3 times a week |
Revision as of 22:39, 3 July 2015
William Haase
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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 HISTORYNone SUBSTANCE 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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