Patrick McLeod/Medical Record: Difference between revisions

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===LAST NAME, FIRST NAME MIDDLE NAME===
===McLEOD, PATRICK===
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' EZ - 123 - 456
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' PS - 396 - 458
*'''Date of Birth:'''
*'''Date of Birth:''' 236503.11
**'''Age:''' {{age|2360|03|31}}
**'''Age:''' {{age|2365|03|11}}
*'''Sex:'''
*'''Sex:''' Male
*'''Species:'''
*'''Species:''' Terran
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*'''Height:''' 178 cm (5'10")
*'''Height:''' 182 cm (6'0")
*'''Weight:''' 73 kilos (160 lbs)
*'''Weight:''' 72 kilos (159 lbs)
*'''Blood Type:'''
*'''Blood Type:''' B-
*'''[[T/E Rating]]:'''
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===PAST MEDICAL HISTORY===
===PAST MEDICAL HISTORY===
*'''Chronic Illnesses:'''
*'''Chronic Illnesses:''' Acute Asthma
*'''Medications:'''
*'''Medications:''' Inhaled corticosteroids
*'''Allergies and Reactions:'''
*'''Allergies and Reactions:''' Asthma
*'''Sexual/Reproductive History:'''
*'''Sexual/Reproductive History:'''
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===PAST HOSPITALIZATIONS/SERIOUS ILLNESS===
===PAST HOSPITALIZATIONS/SERIOUS ILLNESS===
*'''SD 237005.05:'''
*'''SD 237007.05:'''


===PAST SURGICAL HISTORY===
===PAST SURGICAL HISTORY===
*'''SD 237005.05:'''
*'''SD 237007.05:'''
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===SUBSTANCE USE HISTORY===
===SUBSTANCE USE HISTORY===
*'''Alcohol:'''
*'''Alcohol:''' Frequent use, at risk of abuse.
*'''Recreation Drugs:'''
*'''Recreation Drugs:''' None
*'''Other:'''
*'''Other:''' None
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===SOCIAL HISTORY===
===SOCIAL HISTORY===
*'''Marital status:'''
*'''Marital status:''' Single
*'''Children:'''
*'''Children:''' None
*'''Occupation/Assignment:'''
*'''Occupation/Assignment:''' Helm Officer, [[USS Apollo]]
*'''Diet:'''
*'''Diet:'''
*'''Exercise:'''
*'''Exercise:'''
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===PHYSICIANS' NOTES===
===PHYSICIANS' NOTES===
*'''Medical Officer:'''
*'''Medical Officer:''' [[Laxyn, Jalana|Lt. Commander Jalana Laxyn]], MD, [[USS Apollo]
*'''Medical Assessment:'''
*'''Medical Assessment:'''
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Revision as of 04:08, 27 May 2014

Starfleet Medical.png

McLEOD, PATRICK

MEDICAL RECORD
  • Height: 182 cm (6'0")
  • Weight: 72 kilos (159 lbs)
  • Blood Type: B-

PAST MEDICAL HISTORY

  • Chronic Illnesses: Acute Asthma
  • Medications: Inhaled corticosteroids
  • Allergies and Reactions: Asthma
  • Sexual/Reproductive History:

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

PAST SURGICAL HISTORY

PSYCHIATRIC HISTORY

SUBSTANCE USE HISTORY

  • Alcohol: Frequent use, at risk of abuse.
  • Recreation Drugs: None
  • Other: None

FAMILY MEDICAL HISTORY

  • Mother:
  • Father:
  • Siblings:

SOCIAL HISTORY

  • Marital status: Single
  • Children: None
  • Occupation/Assignment: Helm Officer, USS Apollo
  • Diet:
  • Exercise:

PHYSICIANS' NOTES

COUNSELORS' NOTES

  • Counselor:
  • Psychological Assessment:
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