Debra Cross/Medical Record: Difference between revisions

From 118Wiki
Jump to navigation Jump to search
(Created page with " {{subst:Medical Record}}")
 
No edit summary
Line 1: Line 1:
{|style="max-width:700px"
{|style="max-width:700px"
|style="background:teal;" width="100"|
|style="background:teal;" width="100"|
|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]]
===LAST NAME, FIRST NAME MIDDLE NAME===
===Cross, Debra===
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' EZ - 123 - 456
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' - -  
*'''Date of Birth:'''
*'''Date of Birth:'''235107.13
**'''Age:''' {{age|2360|03|31}}
**'''Age:''' {{age|2360|03|31}}
*'''Sex:'''
*'''Sex:''' Female
*'''Species:'''
*'''Species:'''[[Human]]
|-
|-
|style="background:teal; border-radius: 0 0 0 14px; border:0px solid #AFA3BF"|
|style="background:teal; border-radius: 0 0 0 14px; border:0px solid #AFA3BF"|

Revision as of 15:45, 9 May 2014

Starfleet Medical.png

Cross, Debra

MEDICAL RECORD
  • Height: 178 cm (5'10")
  • Weight: 73 kilos (160 lbs)
  • Blood Type:
  • T/E Rating:

PAST MEDICAL HISTORY

  • Chronic Illnesses:
  • Medications:
  • Allergies and Reactions:
  • 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:
Retrieved from "https://wiki.starbase118.net/wiki/index.php?title=Debra_Cross/Medical_Record&oldid=149274"