Sepek/Medical Transcript: Difference between revisions
< Sepek
Jump to navigation
Jump to search
(Created page with "{{subst:Medical Record}}") |
No edit summary |
||
(2 intermediate revisions by the same user not shown) | |||
Line 1: | Line 1: | ||
{{Medical Record LCARS | {{Medical Record LCARS | ||
|SERIAL NUMBER= | |SERIAL NUMBER= VL - 430 - 039 | ||
|BIRTHYEAR= | |BIRTHYEAR= 2365 | ||
|BIRTHMONTH= | |BIRTHMONTH= 07 | ||
|BIRTHDATE= | |BIRTHDATE= 23 | ||
|SEX= | |SEX= Male | ||
|SPECIES= [[Human]] | |SPECIES= [[Human]] [[Vulcan]] hybrid | ||
|HEIGHT= | |HEIGHT= 175.3 cm (5'9") | ||
|WEIGHT= | |WEIGHT= 77 kilos (170 lbs) | ||
|BLOOD TYPE= | |BLOOD TYPE= A+ | ||
|T/E RATING= | |T/E RATING= T5/E0 | ||
|CHRONIC ILLNESSES= None | |CHRONIC ILLNESSES= None | ||
|MEDICATIONS= None | |MEDICATIONS= None | ||
|ALLERGIES & REACTIONS= | |ALLERGIES & REACTIONS= None | ||
|SEXUAL/REPRODUCTIVE HISTORY= | |SEXUAL/REPRODUCTIVE HISTORY= None, has not gone through Pon'farr. | ||
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | |PAST HOSPITALIZATIONS/SERIOUS ILLNESS= None | ||
|PAST SURGICAL HISTORY= None | |||
|PAST SURGICAL HISTORY= | |||
|PSYCHIATRIC HISTORY= None | |PSYCHIATRIC HISTORY= None | ||
|ALCOHOL USE= | |ALCOHOL USE= None | ||
|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= Dementia | ||
|SIBLING MEDICAL HISTORY= None | |SIBLING MEDICAL HISTORY= None | ||
|MARITAL STATUS & SPOUSE= Married to | |MARITAL STATUS & SPOUSE= Married to T'aiya | ||
|CHILDREN= | |CHILDREN= None | ||
|OCCUPATION= | |OCCUPATION= Science officer | ||
|DIET= Vegetarian | |DIET= Vegetarian | ||
|EXERCISE= | |EXERCISE= Cardio, 3 times a week | ||
|PHYSICIANS NOTE= | |PHYSICIANS NOTE= | ||
|COUNSELORS NOTE= | |COUNSELORS NOTE= | ||
}} | }} | ||
[[Category:Medical Records]] | [[Category:Medical Records]] |
Latest revision as of 23:17, 5 August 2017
Sepek
| ||
MEDICAL RECORD | ||
---|---|---|
| ||
PAST MEDICAL HISTORY
| ||
PAST HOSPITALIZATIONS/SERIOUS ILLNESSNone PAST SURGICAL HISTORYNone | ||
PSYCHIATRIC HISTORYNone SUBSTANCE USE HISTORY
| ||
FAMILY MEDICAL HISTORY
| ||
SOCIAL HISTORY
| ||
PHYSICIANS' NOTES | ||
COUNSELORS' NOTES |