Anastasha Broi/Medical Record: Difference between revisions

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|BirthMonth = 09
|BirthMonth = 09
|BirthDate = 29
|BirthDate = 29
|BirthYear = 2362
|BirthYear = 236209
|BirthPlace = Betazed
|BirthPlace = Betazed
|Extra =<center>{{sChar|First=Anastasha|Last=Broi|Sub=AcademyDiploma|Title=Academy
|Extra =<center>{{sChar|First=Anastasha|Last=Broi|Sub=AcademyDiploma|Title=Academy
Line 27: Line 27:
{{Medical Record LCARS
{{Medical Record LCARS
|SERIAL NUMBER=  
|SERIAL NUMBER=  
|BIRTHYEAR= 239
|BIRTHYEAR= 2362
|BIRTHMONTH=  
|BIRTHMONTH= 09
|BIRTHDATE=  
|BIRTHDATE= 29
|SEX= Female
|SEX= Female
|SPECIES= [[Betazoid]]
|SPECIES= [[Betazoid]]
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|WEIGHT= 115 lbs
|WEIGHT= 115 lbs
|BLOOD TYPE= O+
|BLOOD TYPE= O+
|T/E RATING=  
|T/E RATING= T6/E6
|CHRONIC ILLNESSES= None
|CHRONIC ILLNESSES= None
|MEDICATIONS= None
|MEDICATIONS= None
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|PAST HOSPITALIZATIONS/SERIOUS ILLNESS=
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS=
|PAST SURGICAL HISTORY=
|PAST SURGICAL HISTORY=
*Surgery left knee
|PSYCHIATRIC HISTORY=  
|PSYCHIATRIC HISTORY=  
|ALCOHOL USE= None
|ALCOHOL USE= None
Line 53: Line 54:
|OCCUPATION= Counselor
|OCCUPATION= Counselor
|DIET= Omnivore
|DIET= Omnivore
|EXERCISE=  
|EXERCISE=
*running
*Dancing
|PHYSICIANS NOTE=
|PHYSICIANS NOTE=
|COUNSELORS NOTE=  
|COUNSELORS NOTE=  

Latest revision as of 20:03, 17 October 2015

Crew of Starbase 118

Anastasha K. Broi.png

Ensign Anastasha Broi
Alt-Teal-O1-Ens.png
Alt-Teal-Blank.png
[[StarFleet Serial Number Register|]]
  • Age: -233808
  • DoB: 23620909.29
  • Birthplace: Betazed
Academy Transcript • Medical History
Main Page
User Page


Starfleet Medical.png

Anastasha Broi

MEDICAL RECORD
  • Height: 5'5"
  • Weight: 115 lbs
  • Blood Type: O+
  • T/E Rating: T6/E6

PAST MEDICAL HISTORY

  • Chronic Illnesses: None
  • Medications: None
  • Allergies and Reactions: None
  • Sexual/Reproductive History: None

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

PAST SURGICAL HISTORY

  • Surgery left knee

PSYCHIATRIC HISTORY

SUBSTANCE USE HISTORY

  • Alcohol: None
  • Recreation Drugs: None
  • Other: None

FAMILY MEDICAL HISTORY

  • Parent 1 (Mother): None
  • Parent 2 (Father): None
  • Siblings: None

SOCIAL HISTORY

  • Marital status: None
  • Children: 1, girl
  • Occupation/Assignment: Counselor
  • Diet: Omnivore
  • Exercise: *running
  • Dancing

PHYSICIANS' NOTES

COUNSELORS' NOTES

  • SD
Chief Counselor:




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