Marcus Dickens/Medical Record: Difference between revisions

From 118Wiki
Jump to navigation Jump to search
(Medical record for Marcus Dickens)
 
 
(10 intermediate revisions by 2 users not shown)
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===
===DICKENS, MARCUS===
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' EZ - 123 - 456
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' GT - 190 -779
*'''Date of Birth:'''
*'''Date of Birth:'''235907.19
**'''Age:''' {{age|2360|03|31}}
**'''Age:''' {{age|2359|07|19}}
*'''Sex:'''
*'''Sex:''' Male
*'''Species:'''
*'''Species:''' [[Angosian]]/[[Betazoid]]
|-
|-
|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:''' 182 cm (5'9")
*'''Weight:''' 73 kilos (160 lbs)
*'''Weight:''' 79 kilos ( 174 lbs)
*'''Blood Type:'''
*'''Blood Type:''' B
*'''[[T/E Rating]]:'''
*'''[[T/E Rating]]:''' 3/4
|-
|-
|style="background:teal;"|
|style="background:teal;"|
|colspan=2|
|colspan=2|
===PAST MEDICAL HISTORY===
===PAST MEDICAL HISTORY===
*'''Chronic Illnesses:'''
*'''Chronic Illnesses:''' None
*'''Medications:'''
*'''Medications:''' None
*'''Allergies and Reactions:'''
*'''Allergies and Reactions:''' Not known
*'''Sexual/Reproductive History:'''
*'''Sexual/Reproductive History:''' Married with a Vukvan woman, no children. Stable relationship until 2391. Actual status: Divorced.
|-
|-
|style="background:teal;"|
|style="background:teal;"|
|colspan=2|
|colspan=2|
===PAST HOSPITALIZATIONS/SERIOUS ILLNESS===
===PAST HOSPITALIZATIONS/SERIOUS ILLNESS===
*'''SD 237005.05:'''
*'''SD :'''
*'''SD 237007.05:'''
*'''SD :'''


===PAST SURGICAL HISTORY===
===PAST SURGICAL HISTORY===
*'''SD 237005.05:'''
*'''SD 2388:''' Implant of cybernetic replacement of left hand and a third of forearm.
*'''SD 237007.05:'''
*'''SD :'''
|-
|-
|style="background:teal;"|
|style="background:teal;"|
|colspan=2|
|colspan=2|
===PSYCHIATRIC HISTORY===
===PSYCHIATRIC HISTORY===
''' CLASSIFIED '''
'' Data access level Level 4 required ''
File: [[Kelrod Medical File|Kelrod]]


===SUBSTANCE USE HISTORY===
===SUBSTANCE USE HISTORY===
*'''Alcohol:'''
*'''Alcohol:''' Not known
*'''Recreation Drugs:'''
*'''Recreation Drugs:''' Not known
*'''Other:'''
*'''Other:'''
|-
|-
Line 51: Line 58:
|colspan=2|
|colspan=2|
===FAMILY MEDICAL HISTORY===
===FAMILY MEDICAL HISTORY===
*'''Mother:'''
*'''Mother:''' Betazoid
*'''Father:'''
*'''Father:''' Angosian (War Veteran)
*'''Siblings:'''
*'''Siblings:'''
|-
|-
Line 58: Line 65:
|colspan=2|
|colspan=2|
===SOCIAL HISTORY===
===SOCIAL HISTORY===
*'''Marital status:'''
*'''Marital status:''' Divorced
*'''Children:'''
*'''Children:''' None
*'''Occupation/Assignment:'''
*'''Occupation/Assignment:''' Security Officer (SAR leader)
*'''Diet:'''
*'''Diet:'''  
*'''Exercise:'''
*'''Exercise:''' Regular fencing and riding horses as well as hand to hand combat.
|-
|-
|style="background:teal;" colspan=3 height=4|
|style="background:teal;" colspan=3 height=4|
Line 68: Line 75:
|style="background:teal;"|
|style="background:teal;"|
|colspan=2|
|colspan=2|
===PHYSICIANS' NOTES===
===PHYSICIANS' NOTES===
*'''Medical Officer:'''
*'''Medical Officer:''' Raj Blueheart
*'''Medical Assessment:'''
*'''Medical Assessment:'''
|-
|-
|style="background:teal;"|
|style="background:teal;"|
|colspan=2|
|colspan=2|
===COUNSELORS' NOTES===
===COUNSELORS' NOTES===
*'''Counselor:'''
*'''Counselor:''' Raissa Moonsong
*'''Psychological Assessment:'''
*'''Psychological Assessment:'''
|}
|}
__NOTOC__
__NOTOC__
[[Category:Medical Records]]
[[Category:Medical Records]]
[[Category:Marcus_Dickens]]

Latest revision as of 12:55, 28 August 2016

Starfleet Medical.png

DICKENS, MARCUS

MEDICAL RECORD
  • Height: 182 cm (5'9")
  • Weight: 79 kilos ( 174 lbs)
  • Blood Type: B
  • T/E Rating: 3/4

PAST MEDICAL HISTORY

  • Chronic Illnesses: None
  • Medications: None
  • Allergies and Reactions: Not known
  • Sexual/Reproductive History: Married with a Vukvan woman, no children. Stable relationship until 2391. Actual status: Divorced.

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

  • SD :
  • SD :

PAST SURGICAL HISTORY

  • SD 2388: Implant of cybernetic replacement of left hand and a third of forearm.
  • SD :

PSYCHIATRIC HISTORY

CLASSIFIED

Data access level Level 4 required

File: Kelrod

SUBSTANCE USE HISTORY

  • Alcohol: Not known
  • Recreation Drugs: Not known
  • Other:

FAMILY MEDICAL HISTORY

  • Mother: Betazoid
  • Father: Angosian (War Veteran)
  • Siblings:

SOCIAL HISTORY

  • Marital status: Divorced
  • Children: None
  • Occupation/Assignment: Security Officer (SAR leader)
  • Diet:
  • Exercise: Regular fencing and riding horses as well as hand to hand combat.

PHYSICIANS' NOTES

  • Medical Officer: Raj Blueheart
  • Medical Assessment:

COUNSELORS' NOTES

  • Counselor: Raissa Moonsong
  • Psychological Assessment:
Retrieved from "https://wiki.starbase118.net/wiki/index.php?title=Marcus_Dickens/Medical_Record&oldid=229157"