Tu'Peq/Medical Record: Difference between revisions

From 118Wiki
Jump to navigation Jump to search
No edit summary
No edit summary
Line 19: Line 19:
|colspan=2|
|colspan=2|
===PAST MEDICAL HISTORY===
===PAST MEDICAL HISTORY===
*'''Chronic Illnesses:''' Acute Asthma
*'''Chronic Illnesses:'''  
*'''Medications:''' Inhaled corticosteroids
*'''Medications:'''  
*'''Allergies and Reactions:''' Asthma
*'''Allergies and Reactions:'''  
*'''Sexual/Reproductive History:'''
*'''Sexual/Reproductive History:'''
|-
|-
Line 35: Line 35:


===SUBSTANCE USE HISTORY===
===SUBSTANCE USE HISTORY===
*'''Alcohol:''' Frequent use, at risk of addiction.
*'''Alcohol:''' Occasional
*'''Recreation Drugs:''' None
*'''Recreation Drugs:''' None
*'''Other:''' None
*'''Other:''' None
Line 52: Line 52:
*'''Marital status:''' Single
*'''Marital status:''' Single
*'''Children:''' None
*'''Children:''' None
*'''Occupation/Assignment:''' Helm & Navigational Officer, [[USS Apollo]]
*'''Occupation/Assignment:''' Science Officer, [[USS Blackwell]]
*'''Diet:'''
*'''Diet:'''
*'''Exercise:'''
*'''Exercise:'''
Line 62: Line 62:


===PHYSICIANS' NOTES===
===PHYSICIANS' NOTES===
*'''Medical Officer:''' [[Laxyn, Jalana|Lt. Commander Jalana Laxyn]], MD, [[USS Apollo]]
*'''Medical Officer:''' [[Anath_G%27Renn|Lieutenant JG Anath G'Renn]], [[USS Blackwell]]
*'''Medical Assessment:'''
*'''Medical Assessment:'''
|-
|-
Line 68: Line 68:
|colspan=2|
|colspan=2|
===COUNSELORS' NOTES===
===COUNSELORS' NOTES===
*'''Counselor:'''
*'''Counselor:''' [[Kalara_Avran| Lieutenant JG Kalara Avran]], [[USS Blackwell]]
*'''Psychological Assessment:'''
*'''Psychological Assessment:'''
|}
|}

Revision as of 20:22, 30 July 2017

Main Page
Tu'Peq.jpg

TU'PEQ

Service Record Personal Life Medical Record Academy Transcript MEDICAL RECORD
  • Date of Birth: 234203.4
    • Age: 59
  • Sex: Male
  • Species: Vulcan
  • Height: 182 cm
  • Weight: 72 kg
  • Blood Type: T+

PAST MEDICAL HISTORY

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

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

PAST SURGICAL HISTORY

PSYCHIATRIC HISTORY

SUBSTANCE USE HISTORY

  • Alcohol: Occasional
  • Recreation Drugs: None
  • Other: None

FAMILY MEDICAL HISTORY

  • Mother:
  • Father:
  • Siblings:

SOCIAL HISTORY

  • Marital status: Single
  • Children: None
  • Occupation/Assignment: Science Officer, USS Blackwell
  • Diet:
  • Exercise:

PHYSICIANS' NOTES

COUNSELORS' NOTES