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{{Medical Record LCARS | {{Medical Record LCARS | ||
|SERIAL NUMBER= EZ - 123 - 456 | |SERIAL NUMBER= EZ - 123 - 456 | ||
|BIRTHYEAR= | |BIRTHYEAR= 2374 | ||
|BIRTHMONTH= | |BIRTHMONTH= 02 | ||
|BIRTHDATE= | |BIRTHDATE= 06 | ||
|SEX= | |SEX= Male | ||
|SPECIES= [[ | |SPECIES= [[Benzite]] | ||
|HEIGHT= | |HEIGHT= 6' 4" cm (191 cm) | ||
|WEIGHT= 56 kilos (123 lbs) | |WEIGHT= 56 kilos (123 lbs) | ||
|BLOOD TYPE= | |BLOOD TYPE= | ||
|T/E RATING= T0 | |T/E RATING= T0/E0 | ||
|CHRONIC ILLNESSES= None | |CHRONIC ILLNESSES= None | ||
|MEDICATIONS= None | |MEDICATIONS= None | ||
|ALLERGIES & REACTIONS= | |ALLERGIES & REACTIONS= | ||
|SEXUAL/REPRODUCTIVE HISTORY= | |SEXUAL/REPRODUCTIVE HISTORY= | ||
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | |PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | ||
|PAST SURGICAL HISTORY= | |PAST SURGICAL HISTORY= | ||
|PSYCHIATRIC HISTORY= None | |PSYCHIATRIC HISTORY= None | ||
|ALCOHOL USE= | |ALCOHOL USE= | ||
|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= HCO Officer | ||
|DIET= | |DIET= Balanced, High Protein | ||
|EXERCISE= | |EXERCISE= Calisthenics, HIIT | ||
|PHYSICIANS NOTE= | |PHYSICIANS NOTE= | ||
*'''SD 239004.23 - Medical Officer:''' | *'''SD 239004.23 - Medical Officer:''' | ||
*'''Medical Assessment:''' | *'''Medical Assessment:''' | ||
<hr> | <hr> | ||
*'''SD 239004.27 - Medical Officer:''' | *'''SD 239004.27 - Medical Officer:''' | ||
*'''Addendum:''' | *'''Addendum:''' | ||
|COUNSELORS NOTE= | |COUNSELORS NOTE= | ||
*'''SD 239004.28 - Counselor:''' | *'''SD 239004.28 - Counselor:''' | ||
*'''Counseling Assessment:''' | *'''Counseling Assessment:''' | ||
}} | }} | ||
{{Psychological Profile Header | {{Psychological Profile Header | ||
|SERIAL NUMBER= | |SERIAL NUMBER= VQ-283-079 | ||
|ASSIGNMENT= | |ASSIGNMENT= HCO Officer | ||
|POSTING= {{USS| | |POSTING= {{USS|Constitution|B}} | ||
|RANK= | |RANK= Ensign | ||
|TELEPATH= T0/E0 | |TELEPATH= T0/E0 | ||
}} | }} | ||
{{Psychological Profile Entry | {{Psychological Profile Entry | ||
|STARDATE= 239002.24 | |STARDATE= 239002.24 | ||
|CONDITION= | |CONDITION= | ||
|DISCIPLINING OFFICER= | |DISCIPLINING OFFICER= | ||
|COUNSELORNOTES= | |COUNSELORNOTES= | ||
|MEDICALNOTES = | |MEDICALNOTES = | ||
}} | }} | ||
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