Anastasha Broi/Medical Record: Difference between revisions

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(Created page with "{{Broinav}} {{Medical Record LCARS |SERIAL NUMBER= |BIRTHYEAR= 2361 |BIRTHMONTH= 09 |BIRTHDATE= 29 |SEX= Female |SPECIES= Betazoid |HEIGHT= 5'5" |WEIGHT= 115 lbs |BLOOD...")
 
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{{Broinav}}
{{LCARS-Navbar
|FirstName = Anastasha
|LastName = Broi
|Image = Anastasha K. Broi.png
|Ship = Starbase 118
|Station = Yes
|UserName = Anastasha
|Rank = Ensign
|Style = RetroSlanted
|Post = Counselor
|Color = Teal
|Species = [[Betazoid]]
|Gender = Female
|Serial =
|BirthMonth = 09
|BirthDate = 29
|BirthYear = 2362
|BirthPlace = Betazed
|Extra =<center>{{sChar|First=Anastasha|Last=Broi|Sub=AcademyDiploma|Title=Academy
Transcript}} • {{sChar|First=Anastasha|Last=Broi|Sub=Medical Record|Title=Medical
History}}<br>[[Broi, Anastasha|Main Page]]</center>
}}
 
 
<!--{{Broinav}}-->


{{Medical Record LCARS
{{Medical Record LCARS
|SERIAL NUMBER=  
|SERIAL NUMBER=  
|BIRTHYEAR= 2361
|BIRTHYEAR=  
|BIRTHMONTH= 09
|BIRTHMONTH=  
|BIRTHDATE= 29
|BIRTHDATE=  
|SEX= Female
|SEX= Female
|SPECIES= [[Betazoid]]
|SPECIES= [[Betazoid]]
Line 11: Line 35:
|WEIGHT= 115 lbs
|WEIGHT= 115 lbs
|BLOOD TYPE= O+
|BLOOD TYPE= O+
|T/E RATING= T6/E6
|T/E RATING=  
|CHRONIC ILLNESSES= None
|CHRONIC ILLNESSES= None
|MEDICATIONS= None
|MEDICATIONS= None
Line 17: Line 41:
|SEXUAL/REPRODUCTIVE HISTORY= None
|SEXUAL/REPRODUCTIVE HISTORY= None
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS=
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS=
*'''SD 239207.11:''' Received EARS implant for right ear.
|PAST SURGICAL HISTORY=
|PAST SURGICAL HISTORY=
*'''SD 239203.02''': Received EARS implant for left ear.
|PSYCHIATRIC HISTORY=  
|PSYCHIATRIC HISTORY= Annual Psychological Evaluation:
|ALCOHOL USE= None
|ALCOHOL USE= None
|RECREATIONAL DRUG USE= None
|RECREATIONAL DRUG USE= None
Line 31: Line 53:
|OCCUPATION= Counselor
|OCCUPATION= Counselor
|DIET= Omnivore
|DIET= Omnivore
|EXERCISE= Running, 3 times a week
|EXERCISE=  
|PHYSICIANS NOTE=
|PHYSICIANS NOTE=
*'''SD 239207.11'''
::'''Medical Officer''' Lt. Commander {{n|Solok}}, MD [[Starbase 118 Ops]]
::''Addendum:''' E.A.R.S. surgery successful to right ear.
|COUNSELORS NOTE=  
|COUNSELORS NOTE=  
*'''SD 239204.24:'''  
*'''SD '''  
::'''Chief Counselor:'''  Lieutenant {{n|Vance|Sheridan}}, [[Starbase 118 Ops]]
::'''Chief Counselor:'''   
::'''Addendum:''' On being asked how the last few days had been, Lieutenant Peters described his anxiety over the frequency of his transfers over the last few months. It seems he has had little time to settle down before moving on in each case. Recommend that he remain assigned to Starbase 118 for at least a period of six months to allow him to adopt a more normal routine and settle down.<br><br>His description of his experiences aboard the USS Victory and USS Darwin indicate potential awkwardness in getting to know people. The lieutenant referred to a mission on the Darwin where he fell victim of an anomaly that prevented effective communication with the rest of the crew, and to a rejection aboard the USS Victory. Advised that he should make an effort to connect with his current crewmates and suggested Lieutenant (j.g.) Rix, a departmental colleague, as a good example.<br><br>I am happy to declare Lieutenant (j.g.) Peters fit for duty.
}}
}}



Revision as of 20:30, 29 September 2015

Crew of Starbase 118

Anastasha K. Broi.png

Ensign Anastasha Broi


Starfleet Medical.png

Anastasha Broi

MEDICAL RECORD
  • Height: 5'5"
  • Weight: 115 lbs
  • Blood Type: O+
  • T/E Rating:

PAST MEDICAL HISTORY

  • Chronic Illnesses: None
  • Medications: None
  • Allergies and Reactions: None
  • Sexual/Reproductive History: None

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

PAST SURGICAL HISTORY

PSYCHIATRIC HISTORY

SUBSTANCE USE HISTORY

  • Alcohol: None
  • Recreation Drugs: None
  • Other: None

FAMILY MEDICAL HISTORY

  • Parent 1 (Mother): None
  • Parent 2 (Father): None
  • Siblings: None

SOCIAL HISTORY

  • Marital status: None
  • Children: 1, girl
  • Occupation/Assignment: Counselor
  • Diet: Omnivore
  • Exercise:

PHYSICIANS' NOTES

COUNSELORS' NOTES

  • SD
Chief Counselor:




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