Beelam Grog/Medical Record: Difference between revisions
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Beelam Grog (talk | contribs) (Created page with "{{subst:Medical Record}} {{Medical Record LCARS |SERIAL NUMBER= |BIRTHYEAR= |BIRTHMONTH= |BIRTHDATE= |SEX= Female |SPECIES= [[]] |HEIGHT= |WEIGHT= |BLOOD TYPE= |T/E RA...") |
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{{Medical Record LCARS | {{Medical Record LCARS | ||
|SERIAL NUMBER= | |SERIAL NUMBER= | ||
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|BIRTHDATE= | |BIRTHDATE= | ||
|SEX= Female | |SEX= Female | ||
|SPECIES= [[ | |SPECIES= [[] | ||
|HEIGHT= | |HEIGHT= | ||
|WEIGHT= | |WEIGHT= | ||
|BLOOD TYPE= | |BLOOD TYPE= | ||
|T/E RATING= T0 | |T/E RATING= T0 | ||
|CHRONIC ILLNESSES= | |CHRONIC ILLNESSES= | ||
|MEDICATIONS= | |MEDICATIONS= | ||
|ALLERGIES & REACTIONS= | |ALLERGIES & REACTIONS= | ||
|SEXUAL/REPRODUCTIVE HISTORY= | |SEXUAL/REPRODUCTIVE HISTORY= | ||
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | |PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | ||
*'''2388:''' Tarkalean flu | |||
|PAST SURGICAL HISTORY= | |PAST SURGICAL HISTORY= | ||
| Line 81: | Line 33: | ||
|COUNSELORS NOTE= | |COUNSELORS NOTE= | ||
[[Category:Medical Records]] | |||
Revision as of 23:23, 11 March 2019
{{Medical Record LCARS |SERIAL NUMBER= |BIRTHYEAR= |BIRTHMONTH= |BIRTHDATE= |SEX= Female |SPECIES= [[] |HEIGHT= |WEIGHT= |BLOOD TYPE= |T/E RATING= T0 |CHRONIC ILLNESSES= |MEDICATIONS= |ALLERGIES & REACTIONS= |SEXUAL/REPRODUCTIVE HISTORY= |PAST HOSPITALIZATIONS/SERIOUS ILLNESS=
- 2388: Tarkalean flu
|PAST SURGICAL HISTORY=
|PSYCHIATRIC HISTORY= None |ALCOHOL USE= |RECREATIONAL DRUG USE= |OTHER SUBSTANCE USE= |MOTHER MEDICAL HISTORY= |FATHER MEDICAL HISTORY= |SIBLING MEDICAL HISTORY= |MARITAL STATUS & SPOUSE= |CHILDREN= |OCCUPATION= |DIET= |EXERCISE= |PHYSICIANS NOTE=
|COUNSELORS NOTE=