Rel Cassi/Medical Record: Difference between revisions
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{{Medical Record LCARS | {{Medical Record LCARS | ||
|SERIAL NUMBER= | |SERIAL NUMBER= WZ-412-504 | ||
|BIRTHYEAR= | |BIRTHYEAR= 2370 | ||
|BIRTHMONTH= | |BIRTHMONTH= 12 | ||
|BIRTHDATE= | |BIRTHDATE= 11 | ||
|SEX= Female | |SEX= Female | ||
|SPECIES= [[ | |SPECIES= [[Bajoran]] | ||
|HEIGHT= | |HEIGHT= 5'2" | ||
|WEIGHT= | |WEIGHT= 110 lbs | ||
|BLOOD TYPE= | |BLOOD TYPE= O+ | ||
|T/E RATING= T0 | |T/E RATING= T0 | ||
|CHRONIC ILLNESSES= None | |CHRONIC ILLNESSES= None | ||
|MEDICATIONS= None | |MEDICATIONS= None | ||
|ALLERGIES & REACTIONS= | |ALLERGIES & REACTIONS= Voles (Mild itchiness) | ||
|SEXUAL/REPRODUCTIVE HISTORY= | |SEXUAL/REPRODUCTIVE HISTORY= No regular partners | ||
|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= Social | ||
|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= Medical Officer | ||
|DIET= | |DIET= Omnivore | ||
|EXERCISE= | |EXERCISE= Tai Chi, Calisthenics | ||
|PHYSICIANS NOTE= | |PHYSICIANS NOTE= | ||
None | |||
|COUNSELORS NOTE= | |COUNSELORS NOTE= | ||
None | |||
}} | }} | ||
[[Category:Medical Records]] | [[Category:Medical Records]] | ||
Latest revision as of 01:48, 31 December 2020
Rel Cassi
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MEDICAL RECORD | ||
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PAST MEDICAL HISTORY
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PAST HOSPITALIZATIONS/SERIOUS ILLNESSNone PAST SURGICAL HISTORYNone | ||
PSYCHIATRIC HISTORYNone SUBSTANCE USE HISTORY
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FAMILY MEDICAL HISTORY
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SOCIAL HISTORY
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PHYSICIANS' NOTESNone | ||
COUNSELORS' NOTESNone |