Ilene Torza/Medical Records: Difference between revisions
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{{Medical Record LCARS | {{Medical Record LCARS | ||
|SERIAL NUMBER= | |SERIAL NUMBER= WC-511-743 | ||
|BIRTHYEAR= | |BIRTHYEAR= 2367 | ||
|BIRTHMONTH= | |BIRTHMONTH= 05 | ||
|BIRTHDATE= | |BIRTHDATE= 04 | ||
|SEX= Female | |SEX= Female | ||
|SPECIES= [[ | |SPECIES= [[Ullian]] | ||
|HEIGHT= | |HEIGHT= 4' 11" | ||
|WEIGHT= | |WEIGHT= 110 lbs | ||
|BLOOD TYPE= | |BLOOD TYPE= TBD | ||
|T/E RATING= | |T/E RATING= T4 | ||
|CHRONIC ILLNESSES= None | |CHRONIC ILLNESSES= None | ||
|MEDICATIONS= None | |MEDICATIONS= None | ||
|ALLERGIES & REACTIONS= | |ALLERGIES & REACTIONS= No Known Drug or Food Allergies | ||
|SEXUAL/REPRODUCTIVE HISTORY= | |SEXUAL/REPRODUCTIVE HISTORY= Not Sexually Active | ||
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | |PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | ||
* | *none | ||
|PAST SURGICAL HISTORY= | |PAST SURGICAL HISTORY= | ||
* | * none | ||
|PSYCHIATRIC HISTORY= None | |PSYCHIATRIC HISTORY= None | ||
|ALCOHOL USE= | |ALCOHOL USE= Occasional | ||
|RECREATIONAL DRUG USE= None | |RECREATIONAL DRUG USE= None | ||
|OTHER SUBSTANCE USE= None | |OTHER SUBSTANCE USE= None | ||
|MOTHER MEDICAL HISTORY= None | |MOTHER MEDICAL HISTORY= None | ||
|FATHER MEDICAL HISTORY= | |FATHER MEDICAL HISTORY= None | ||
|SIBLING MEDICAL HISTORY= None | |SIBLING MEDICAL HISTORY= None | ||
|MARITAL STATUS & SPOUSE= | |MARITAL STATUS & SPOUSE= Single | ||
|CHILDREN= | |CHILDREN= None | ||
|OCCUPATION= | |OCCUPATION= Science | ||
|DIET= | |DIET= Omnivore, attempts to be healthy | ||
|EXERCISE= | |EXERCISE= Aerobic, Three times a week | ||
|PHYSICIANS NOTE= | |PHYSICIANS NOTE= | ||
* | * None to date | ||
|COUNSELORS NOTE= | |COUNSELORS NOTE= | ||
* | * None to date | ||
}} | }} | ||
[[Category:Medical Records]] | [[Category:Medical Records]] |
Revision as of 14:24, 11 September 2015
Ilene Torza
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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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