Jerry Reid/Medical Record: Difference between revisions
Jump to navigation
Jump to search
Jerry Reid (talk | contribs) |
Jerry Reid (talk | contribs) |
||
Line 4: | Line 4: | ||
|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]] | ||
===REID, JERRY=== | ===REID, JERRY=== | ||
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' | *'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' US - 548 - 277 | ||
*'''Date of Birth:''' 235001.10 | *'''Date of Birth:''' 235001.10 | ||
**'''Age:''' 41 | **'''Age:''' 41 | ||
Line 19: | Line 19: | ||
*'''Weight:''' 73 kilos (160 lbs) | *'''Weight:''' 73 kilos (160 lbs) | ||
*'''Blood Type:''' | *'''Blood Type:''' | ||
*'''[[T/E Rating]]:''' | *'''[[T/E Rating]]:''' 0/0+ | ||
|- | |- | ||
|style="background:teal;"| | |style="background:teal;"| |
Revision as of 06:55, 30 July 2014
REID, JERRY
| ||
MEDICAL RECORD | ||
---|---|---|
| ||
PAST MEDICAL HISTORY
| ||
PAST HOSPITALIZATIONS/SERIOUS ILLNESS
PAST SURGICAL HISTORY
| ||
PSYCHIATRIC HISTORY
SUBSTANCE USE HISTORY
| ||
FAMILY MEDICAL HISTORY
| ||
SOCIAL HISTORY
| ||
PHYSICIANS' NOTES
| ||
COUNSELORS' NOTES
|