Fenelli, Mary Mauve/Medical Record: Difference between revisions

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*'''Medications:'''
*'''Medications:'''
*'''Allergies and Reactions:'''
*'''Allergies and Reactions:'''
*'''Sexual/Reproductive History:'''
*'''Sexual/Reproductive History:'''  
*'''Trill Symbiosis Status:'''  
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===SUBSTANCE USE HISTORY===
===SUBSTANCE USE HISTORY===
*'''Alcohol:''' Infrequent
*'''Alcohol:''' Never
*'''Recreation Drugs:''' Never
*'''Recreation Drugs:''' Never
*'''Other:''' None
*'''Other:''' None

Revision as of 15:36, 26 February 2015

Starfleet Medical.png

Fenelli, Mary Mauve ARNOM

MEDICAL RECORD
  • Height: 1.5 Meters
  • Weight: 65 Kilograms
  • Blood Type: AB
  • T/E Rating: None

PAST MEDICAL HISTORY

  • Chronic Illnesses:
  • Medications:
  • Allergies and Reactions:
  • Sexual/Reproductive History:

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

  • SD :
  • SD :
  • SD :

PAST SURGICAL HISTORY

None

PSYCHIATRIC HISTORY

SUBSTANCE USE HISTORY

  • Alcohol: Never
  • Recreation Drugs: Never
  • Other: None

FAMILY MEDICAL HISTORY

  • Mother:
  • Father:
  • Siblings:

SOCIAL HISTORY

  • Marital status: N/A
  • Children: N/A
  • Occupation/Assignment:
  • Diet:
  • Exercise:

PHYSICIANS' NOTES

  • Medical Officer:
  • Medical Assessment:

COUNSELORS' NOTES
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