Francis Ryan/Medical Record: Difference between revisions
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Frankie Ryan (talk | contribs) (Created page with "{{subst:Medical Record}}") |
Frankie Ryan (talk | contribs) No edit summary |
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|BIRTHMONTH= 01 | |BIRTHMONTH= 01 | ||
|BIRTHDATE= 01 | |BIRTHDATE= 01 | ||
|SEX= | |SEX= Male | ||
|SPECIES= [[Human]] | |SPECIES= [[Human]] | ||
|HEIGHT= | |HEIGHT= 171 cm (5'7") | ||
|WEIGHT= | |WEIGHT= 61kg | ||
|BLOOD TYPE= | |BLOOD TYPE= A+ | ||
|T/E RATING= T0 | |T/E RATING= T0 | ||
|CHRONIC ILLNESSES= None | |CHRONIC ILLNESSES= None | ||
|MEDICATIONS= None | |MEDICATIONS= None | ||
|ALLERGIES & REACTIONS= | |ALLERGIES & REACTIONS= None | ||
|SEXUAL/REPRODUCTIVE HISTORY= | |SEXUAL/REPRODUCTIVE HISTORY= None | ||
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | |PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | ||
|PAST SURGICAL HISTORY= | |PAST SURGICAL HISTORY= | ||
|PSYCHIATRIC HISTORY= None | |PSYCHIATRIC HISTORY= None | ||
|ALCOHOL USE= 2 glasses of wine per week | |ALCOHOL USE= 2 glasses of wine per week | ||
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|OTHER SUBSTANCE USE= None | |OTHER SUBSTANCE USE= None | ||
|MOTHER MEDICAL HISTORY= None | |MOTHER MEDICAL HISTORY= None | ||
|FATHER MEDICAL HISTORY= | |FATHER MEDICAL HISTORY= None | ||
|SIBLING MEDICAL HISTORY= None | |SIBLING MEDICAL HISTORY= None | ||
|MARITAL STATUS & SPOUSE= | |MARITAL STATUS & SPOUSE= Single | ||
|CHILDREN= | |CHILDREN= None | ||
|OCCUPATION= | |OCCUPATION= Councillor | ||
|DIET= | |DIET= Carnivor | ||
|EXERCISE= Running, 3 times a week | |EXERCISE= Running, 3 times a week | ||
|PHYSICIANS NOTE= | |PHYSICIANS NOTE= | ||
|COUNSELORS NOTE= | |COUNSELORS NOTE= | ||
*'''SD 239004.28 - Counselor:''' Lt. Rachel Simmons, {{USS|Mercury}} | *'''SD 239004.28 - Counselor:''' Lt. Rachel Simmons, {{USS|Mercury}} |
Revision as of 11:59, 28 December 2016
Francis Ryan
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MEDICAL RECORD | ||
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PAST MEDICAL HISTORY
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PAST HOSPITALIZATIONS/SERIOUS ILLNESSPAST SURGICAL HISTORY | ||
PSYCHIATRIC HISTORYNone SUBSTANCE USE HISTORY
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FAMILY MEDICAL HISTORY
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SOCIAL HISTORY
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PHYSICIANS' NOTES | ||
COUNSELORS' NOTES
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