Patrick McLeod/Medical Record: Difference between revisions

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{{McLeod
|Color=Teal
|Section Name=MEDICAL RECORD
|Section Name Width=170
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===McLEOD, PATRICK===
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' PS - 396 - 458
*'''Date of Birth:''' 236503.11
*'''Date of Birth:''' 236503.11
**'''Age:''' {{age|2365|03|11}}
**'''Age:''' {{age|2365|03|11}}
*'''Sex:''' Male
*'''Sex:''' Male
*'''Species:''' Terran
*'''Species:''' Terran
|-
*'''Height:''' 182 cm
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*'''Weight:''' 72 kg
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!width=180 align=right|<font size="4" color=teal>MEDICAL RECORD</font>
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*'''Height:''' 182 cm (6'0")
*'''Weight:''' 72 kilos (159 lbs)
*'''Blood Type:''' B-
*'''Blood Type:''' B-
|-
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===SUBSTANCE USE HISTORY===
===SUBSTANCE USE HISTORY===
*'''Alcohol:''' Frequent use, at risk of abuse.
*'''Alcohol:''' Frequent use, at risk of addiction.
*'''Recreation Drugs:''' None
*'''Recreation Drugs:''' None
*'''Other:''' None
*'''Other:''' None
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===FAMILY MEDICAL HISTORY===
===FAMILY MEDICAL HISTORY===
*'''Mother:'''
*'''Mother:'''
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*'''Marital status:''' Single
*'''Marital status:''' Single
*'''Children:''' None
*'''Children:''' None
*'''Occupation/Assignment:''' Helm Officer, [[USS Apollo]]
*'''Occupation/Assignment:''' Helm & Navigational Officer, [[USS Apollo]]
*'''Diet:'''
*'''Diet:'''
*'''Exercise:'''
*'''Exercise:'''
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===PHYSICIANS' NOTES===
===PHYSICIANS' NOTES===
*'''Medical Officer:''' [[Laxyn, Jalana|Lt. Commander Jalana Laxyn]], MD, [[USS Apollo]
*'''Medical Officer:''' [[Laxyn, Jalana|Lt. Commander Jalana Laxyn]], MD, [[USS Apollo]]
*'''Medical Assessment:'''
*'''Medical Assessment:'''
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__NOTOC__
__NOTOC__
[[Category:Medical Records]]
[[Category:Medical Records]]
[[Category:Patrick McLeod]]

Latest revision as of 00:13, 30 July 2017

Main Page
McLeod.jpg

McLEOD, PATRICK

Service Record Personal Life Medical Record Academy Transcript MEDICAL RECORD
  • Date of Birth: 236503.11
    • Age: 36
  • Sex: Male
  • Species: Terran
  • Height: 182 cm
  • Weight: 72 kg
  • Blood Type: B-

PAST MEDICAL HISTORY

  • Chronic Illnesses: Acute Asthma
  • Medications: Inhaled corticosteroids
  • Allergies and Reactions: Asthma
  • Sexual/Reproductive History:

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

PAST SURGICAL HISTORY

PSYCHIATRIC HISTORY

SUBSTANCE USE HISTORY

  • Alcohol: Frequent use, at risk of addiction.
  • Recreation Drugs: None
  • Other: None

FAMILY MEDICAL HISTORY

  • Mother:
  • Father:
  • Siblings:

SOCIAL HISTORY

  • Marital status: Single
  • Children: None
  • Occupation/Assignment: Helm & Navigational Officer, USS Apollo
  • Diet:
  • Exercise:

PHYSICIANS' NOTES

COUNSELORS' NOTES

  • Counselor:
  • Psychological Assessment:
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