Eileen McCleran/Medical Record: Difference between revisions

Revision as of 14:52, 7 May 2014

	McCleran, Eileen Lindsey Patient Reference Number: SJ - 481 - 705 Date of Birth: 235905.13 Age: 42 Sex: Female Species: Human
		MEDICAL RECORD
	Height: 173 cm (5'7") Weight: 66.5 kilos (146 lbs) Blood Type: B+ T/E Rating: 0
	PAST MEDICAL HISTORY Chronic Illnesses: Medications: None Allergies and Reactions: None Sexual/Reproductive History:
	PAST HOSPITALIZATIONS/SERIOUS ILLNESS SD 237005.05: SD 237007.05: PAST SURGICAL HISTORY SD 237005.05: SD 237007.05:
	PSYCHIATRIC HISTORY SUBSTANCE USE HISTORY Alcohol: Recreation Drugs: Other:
	FAMILY MEDICAL HISTORY Mother: Father: Siblings:
	SOCIAL HISTORY Marital status: Children: Occupation/Assignment: Diet: Exercise:

	PHYSICIANS' NOTES Medical Officer: Medical Assessment:
	COUNSELORS' NOTES Counselor: Psychological Assessment:

@@ Line 3: / Line 3: @@
 |style="background:teal;" width="100"|
 |width="600" colspan=2|[[File:Starfleet Medical.png|right|150px|link=Category:Medical Records]]
-===LAST NAME, FIRST NAME MIDDLE NAME===
+===McCleran, Eileen Lindsey===
-*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' EZ - 123 - 456
+*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' SJ - 481 - 705
-*'''Date of Birth:'''
+*'''Date of Birth: 235905.13 '''
-**'''Age:''' {{age|2360|03|31}}
+**'''Age:''' {{age|2359|05|13}}
-*'''Sex:'''
+*'''Sex: Female'''
-*'''Species:'''
+*'''Species: Human'''
 |-
 |style="background:teal; border-radius: 0 0 0 14px; border:0px solid #AFA3BF"|
@@ Line 16: / Line 16: @@
 |style="background:teal; border-radius: 14px 0 0 0; border:0px solid #AFA3BF"|
 |colspan=2|
-*'''Height:''' 178 cm (5'10")
+*'''Height:''' 173 cm (5'7")
-*'''Weight:''' 73 kilos (160 lbs)
+*'''Weight:''' 66.5 kilos (146 lbs)
-*'''Blood Type:'''
+*'''Blood Type: B+'''
-*'''[[T/E Rating]]:'''
+*'''[[T/E Rating]]: 0'''
 |-
 |style="background:teal;"|
@@ Line 25: / Line 25: @@
 ===PAST MEDICAL HISTORY===
 *'''Chronic Illnesses:'''
-*'''Medications:'''
+*'''Medications: None'''
-*'''Allergies and Reactions:'''
+*'''Allergies and Reactions: None'''
 *'''Sexual/Reproductive History:'''
 |-