Roshanara Rahman/Medical Record: Difference between revisions

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|width="600" colspan=2|[[File:Starfleet Medical.png|right|150px|link=Category:Medical Records]]
|width="600" colspan=2|[[File:Starfleet Medical.png|right|150px|link=Category:Medical Records]]
===RAHMAN, ROSHANARA===
===RAHMAN, ROSHANARA===
*'''Patient Reference Number:''' 912-804-117
*'''[[StarFleet Serial Number Register|Patient Serial Number]]:''' EZ - 123 - 456
*'''Date of Birth:''' 235612.15
*'''Date of Birth:''' 235612.15
**'''Age:''' {{age|2356|12|15}}
**'''Age:''' {{age|2356|12|15}}

Revision as of 07:46, 7 May 2014

Starfleet Medical.png

RAHMAN, ROSHANARA

MEDICAL RECORD
  • Height: 161 cm (5'3")
  • Weight: 56 kilos (123 lbs)
  • Blood Type: K3

PAST MEDICAL HISTORY

  • Chronic Illnesses: Neurodegenerative disease of unknown origin
  • Medications:
  • Allergies and Reactions:
  • Sexual/Reproductive History:

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

PAST SURGICAL HISTORY

PSYCHIATRIC HISTORY

SUBSTANCE USE HISTORY

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

FAMILY MEDICAL HISTORY

  • Mother: Unknown
  • Father: Unknown
  • Siblings: None

SOCIAL HISTORY

  • Marital status: Single
  • Children: None
  • Occupation/Assignment: Engineer
  • Diet: Kriosian nutritional supplement
  • Exercise:

PHYSICIANS' NOTES

COUNSELORS' NOTES

  • Counselor:
  • Psychological Assessment: