Sudarshan Scudder/Medical Record: Difference between revisions
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Paul Scudder (talk | contribs) (Created page with "{{subst:Medical Record}}") |
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{{Medical Record LCARS | {{Medical Record LCARS | ||
|SERIAL NUMBER= EZ - 123 - 456 | |SERIAL NUMBER= EZ - 123 - 456 | ||
|BIRTHYEAR= | |BIRTHYEAR= 2364 | ||
|BIRTHMONTH= | |BIRTHMONTH= 04 | ||
|BIRTHDATE= | |BIRTHDATE= 21 | ||
|SEX= | |SEX= Male | ||
|SPECIES= [[Human]] | |SPECIES= [[Human]]/[[Vulcan]] | ||
|HEIGHT= | |HEIGHT= 1.8 m (5'11") | ||
|WEIGHT= | |WEIGHT= 65 kg (143 lbs) | ||
|BLOOD TYPE= B+ | |BLOOD TYPE= B+ | ||
|T/E RATING= T0 | |T/E RATING= T0 | ||
Line 29: | Line 29: | ||
|SIBLING MEDICAL HISTORY= None | |SIBLING MEDICAL HISTORY= None | ||
|MARITAL STATUS & SPOUSE= Married to Elliot Smith | |MARITAL STATUS & SPOUSE= Married to Elliot Smith | ||
|CHILDREN= | |CHILDREN= None | ||
|OCCUPATION= | |OCCUPATION= Counselor | ||
|DIET= Vegetarian | |DIET= Vegetarian | ||
|EXERCISE= Running, 3 times a week | |EXERCISE= Running, 3 times a week |
Revision as of 04:23, 2 March 2016
Sudarshan Scudder
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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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