Bas Nadia/Medical History: Difference between revisions

Revision as of 16:53, 21 February 2016

	Bas Nadia Patient Reference Number: AG - 374 -936 Date of Birth: 237020.08 Age: 30 Sex: Female Species: Betazoid
		MEDICAL RECORD
	Height: (5'5") Weight: (115lbs) Blood Type: B+ T/E Rating: T6/E5
	PAST MEDICAL HISTORY Chronic Illnesses: Unknown Medications: Unknown Allergies and Reactions: Unknown Sexual/Reproductive History: Unknown
	PAST HOSPITALIZATIONS/SERIOUS ILLNESS Unknown PAST SURGICAL HISTORY Unknown
	PSYCHIATRIC HISTORY Unknown SUBSTANCE USE HISTORY Alcohol: Unknown Recreation Drugs: Unknown Other: None
	FAMILY MEDICAL HISTORY Parent 1 (Mother): unknown Parent 2 (Father): unknown Siblings: Unknown
	SOCIAL HISTORY Marital status: Single Children: Unknown Occupation/Assignment: Captain's Aide, Template:Starbase Diet: Omnivore. None Exercise: Workout regimen of 2 hours every three days. Sometimes skipped due to stress.

	PHYSICIANS' NOTES

	COUNSELORS' NOTES

@@ Line 11: / Line 11: @@
 |BLOOD TYPE= B+
 |T/E RATING= T6/E5<br>
-|CHRONIC ILLNESSES= None
+|CHRONIC ILLNESSES= Unknown
-|MEDICATIONS= None
+|MEDICATIONS= Unknown
-|ALLERGIES & REACTIONS= None
+|ALLERGIES & REACTIONS= Unknown
-|SEXUAL/REPRODUCTIVE HISTORY= None
+|SEXUAL/REPRODUCTIVE HISTORY= Unknown
-|PAST HOSPITALIZATIONS/SERIOUS ILLNESS=None
+|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= Unknown
-|PAST SURGICAL HISTORY=None
+|PAST SURGICAL HISTORY= Unknown
-|PSYCHIATRIC HISTORY= None
+|PSYCHIATRIC HISTORY= Unknown
-|ALCOHOL USE= None
+|ALCOHOL USE= Unknown
-|RECREATIONAL DRUG USE= None
+|RECREATIONAL DRUG USE= Unknown
 |OTHER SUBSTANCE USE= None
 |MOTHER MEDICAL HISTORY= unknown
 |FATHER MEDICAL HISTORY= unknown
-|SIBLING MEDICAL HISTORY= None
+|SIBLING MEDICAL HISTORY= Unknown
 |MARITAL STATUS & SPOUSE= Single
-|CHILDREN= None
+|CHILDREN= Unknown
 |OCCUPATION= Captain's Aide, {{Starbase|118}}
 |DIET= Omnivore. None