Template:Medical Record LCARS: Difference between revisions
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|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]] | ||
==={{ | ==={{BASEPAGENAME}}=== | ||
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' {{{SERIAL NUMBER|}}} | *'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' {{{SERIAL NUMBER|}}} | ||
*'''Date of Birth:''' {{{BIRTHYEAR|}}}{{{BIRTHMONTH|}}}.{{{BIRTHDATE|}}}}} | *'''Date of Birth:''' {{{BIRTHYEAR|}}}{{{BIRTHMONTH|}}}.{{{BIRTHDATE|}}}}} | ||
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</includeonly><noinclude> | </includeonly><noinclude> | ||
{{Medical Record LCARS | {{Medical Record LCARS | ||
|SERIAL NUMBER= VS - 108 - 427 | |SERIAL NUMBER= VS - 108 - 427 | ||
|BIRTHYEAR= 2356 | |BIRTHYEAR= 2356 |
Revision as of 06:27, 12 October 2014
Medical Record LCARS
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MEDICAL RECORD | ||
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PAST MEDICAL HISTORY
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PAST HOSPITALIZATIONS/SERIOUS ILLNESS
PAST SURGICAL HISTORY
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PSYCHIATRIC HISTORYNone SUBSTANCE USE HISTORY
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FAMILY MEDICAL HISTORY
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SOCIAL HISTORY
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PHYSICIANS' NOTES
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COUNSELORS' NOTES
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