Tu'Peq/Medical Record: Difference between revisions

From 118Wiki
Jump to navigation Jump to search
No edit summary
No edit summary
Line 15: Line 15:
*'''Weight:''' 72 kg
*'''Weight:''' 72 kg
*'''Blood Type:''' T+
*'''Blood Type:''' T+
*'''Telepathic Status:''' [[T/E_Rating_System|'''T5''']]
|-
|-
|style="background:teal;"|
|style="background:teal;"|

Revision as of 23:49, 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+
  • Telepathic Status: T5

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

Retrieved from "https://wiki.starbase118.net/wiki/index.php?title=Tu%27Peq/Medical_Record&oldid=246722"