Vurdal/Medical Record: Difference between revisions
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{{LCARS-Navbar | |||
|FirstName = Vurdal | |||
|Ship = Constitution-B | |||
|UserName = Vurdal | |||
|Rank = Ensign | |||
|Style = STO | |||
|Post = HCO Offiver | |||
|Color = Gold | |||
|Species = [[Benzar]] | |||
|Gender = Male | |||
|Serial = VQ-283-079 | |||
|BirthMonth = 02 | |||
|BirthDate = 06 | |||
|BirthYear = 2374 | |||
|BirthPlace = Belross, Benzar | |||
|Extra =<center> | |||
[[Vurdal/Academy_Transcript|Academy Transcripts]] • [[Vurdal/Medical Record|Medical History]] <br> | |||
[[Vurdal|Main Page]] • [[C239802V04|Writer ID: C239802V04]] | |||
</center> | |||
{{Ribbons Rack|Color=Blue|Starfleet Academy Graduate Ribbon|1}} | |||
|Image = Noimage.jpg | |||
}} | |||
{{Medical Record LCARS | {{Medical Record LCARS | ||
|SERIAL NUMBER= | |SERIAL NUMBER= VQ-283-079 | ||
|BIRTHYEAR= | |BIRTHYEAR= 2374 | ||
|BIRTHMONTH= | |BIRTHMONTH= 02 | ||
|BIRTHDATE= | |BIRTHDATE= 06 | ||
|SEX= | |SEX= Male | ||
|SPECIES= [[ | |SPECIES= [[Benzite]] | ||
|HEIGHT= | |HEIGHT= 6' 4" cm (191 cm) | ||
|WEIGHT= | |WEIGHT= | ||
|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 = | ||
}} | }} | ||
Latest revision as of 02:26, 16 February 2021
Crew of the USS Constitution-B | |||||||||
Ensign Vurdal | |||||||||
Academy Transcripts • Medical History
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Vurdal
| ||
MEDICAL RECORD | ||
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PAST MEDICAL HISTORY
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PAST HOSPITALIZATIONS/SERIOUS ILLNESSPAST SURGICAL HISTORY | ||
PSYCHIATRIC HISTORYNone SUBSTANCE USE HISTORY
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FAMILY MEDICAL HISTORY
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SOCIAL HISTORY
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PHYSICIANS' NOTES
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COUNSELORS' NOTES
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Vurdal
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PSYCHOLOGICAL RECORD | ||
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NOTICE: This personnel record and any attached reports are confidential and intended solely for the use of authorized officers of sufficient clearance. Violations of confidentiality are subject to punishment under the Federation Uniform Code of Justice. |
COUNSELOR REPORT: SD 239002.24
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