Kimiko Chun/Medical Transcript: Difference between revisions

From 118Wiki
Jump to navigation Jump to search
No edit summary
(fixed age template)
Line 5: Line 5:
===CHUN, KIMIKO REI===
===CHUN, KIMIKO REI===
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' MT - 839 - 915
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' MT - 839 - 915
*'''Date of Birth: 236610.20'''
*'''Date of Birth:''' 236610.20
**'''Age: 25''' {{25|2366|10|20}}
**'''Age: ''' {{age|2366|10|20}}
*'''Sex: Female'''
*'''Sex:''' Female
*'''Species: Betazoid'''
*'''Species:''' Betazoid
|-
|-
|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"|
Line 18: Line 18:
*'''Height:''' 164.5 cm (5'4")
*'''Height:''' 164.5 cm (5'4")
*'''Weight:''' 60.78 kilos (134 lbs)
*'''Weight:''' 60.78 kilos (134 lbs)
*'''Blood Type: AB+'''
*'''Blood Type:''' AB+
*'''[[T/E Rating]]:'''
*'''[[T/E Rating]]:'''
|-
|-
Line 24: Line 24:
|colspan=2|
|colspan=2|
===PAST MEDICAL HISTORY===
===PAST MEDICAL HISTORY===
*'''Chronic Illnesses: N/A'''
*'''Chronic Illnesses:''' N/A
*'''Medications: N/A'''
*'''Medications:''' N/A
*'''Allergies and Reactions: N/A'''
*'''Allergies and Reactions:''' N/A
*'''Sexual/Reproductive History: N/A'''
*'''Sexual/Reproductive History:''' N/A
|-
|-
|style="background:teal;"|
|style="background:teal;"|
Line 42: Line 42:


===SUBSTANCE USE HISTORY===
===SUBSTANCE USE HISTORY===
*'''Alcohol: N/A'''
*'''Alcohol:''' N/A
*'''Recreation Drugs: N/A'''
*'''Recreation Drugs:''' N/A
*'''Other: N/A'''
*'''Other:''' N/A
|-
|-
|style="background:teal;"|
|style="background:teal;"|
|colspan=2|
|colspan=2|
===FAMILY MEDICAL HISTORY===
===FAMILY MEDICAL HISTORY===
*'''Mother: Akira Chun'''
*'''Mother:''' Akira Chun
*'''Father: Reijirou Chun'''
*'''Father:''' Reijirou Chun
*'''Siblings: Makaso Chun (deceased)'''
*'''Siblings:''' Makaso Chun (deceased)
|-
|-
|style="background:teal;"|
|style="background:teal;"|
|colspan=2|
|colspan=2|
===SOCIAL HISTORY===
===SOCIAL HISTORY===
*'''Marital status: Single'''
*'''Marital status:''' Single
*'''Children: None'''
*'''Children:''' None'''
*'''Occupation/Assignment: Counsellor'''
*'''Occupation/Assignment:''' Counsellor
*'''Diet: Normal'''
*'''Diet:''' Normal
*'''Exercise: Normal'''
*'''Exercise:''' Normal
|-
|-
|style="background:teal;" colspan=3 height=4|
|style="background:teal;" colspan=3 height=4|

Revision as of 02:43, 1 June 2014

Starfleet Medical.png

CHUN, KIMIKO REI

MEDICAL RECORD
  • Height: 164.5 cm (5'4")
  • Weight: 60.78 kilos (134 lbs)
  • Blood Type: AB+
  • T/E Rating:

PAST MEDICAL HISTORY

  • Chronic Illnesses: N/A
  • Medications: N/A
  • Allergies and Reactions: N/A
  • Sexual/Reproductive History: N/A

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

PAST SURGICAL HISTORY

PSYCHIATRIC HISTORY

SUBSTANCE USE HISTORY

  • Alcohol: N/A
  • Recreation Drugs: N/A
  • Other: N/A

FAMILY MEDICAL HISTORY

  • Mother: Akira Chun
  • Father: Reijirou Chun
  • Siblings: Makaso Chun (deceased)

SOCIAL HISTORY

  • Marital status: Single
  • Children: None
  • Occupation/Assignment: Counsellor
  • Diet: Normal
  • Exercise: Normal

PHYSICIANS' NOTES

  • Medical Officer:
  • Medical Assessment:

COUNSELORS' NOTES

  • Counselor:
  • Psychological Assessment:
Retrieved from "https://wiki.starbase118.net/wiki/index.php?title=Kimiko_Chun/Medical_Transcript&oldid=151398"