Shedet/Medical Records: Difference between revisions

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*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' EZ - 123 - 456
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' EZ - 123 - 456
*'''Date of Birth:'''
*'''Date of Birth:'''
**'''Age:''' {{age|2360|03|31}}
**'''Age:''' {{age|2372|03|31}}
*'''Sex:''' Female
*'''Sex:''' Female
*'''Species:''' Orion
*'''Species:''' Orion

Revision as of 13:04, 9 June 2022

Starfleet Medical.png

SHEDET

MEDICAL RECORD
  • Height: 178 cm (5'10")
  • Weight: 73 kilos (160 lbs)
  • Blood Type: E+
  • T/E Rating: T0/E0

PAST MEDICAL HISTORY

  • Chronic Illnesses:
  • Medications: Ordivolus (Anti-pheromone treatment)
  • Allergies and Reactions: No Known Allergies
  • Sexual/Reproductive History: Declined to Respond

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

PAST SURGICAL HISTORY

PSYCHIATRIC HISTORY

SUBSTANCE USE HISTORY

  • Alcohol: Declined to Respond
  • Recreation Drugs: No drug usage.
  • Other:

FAMILY MEDICAL HISTORY

  • Mother: Maveth
  • Father: Kosek
  • Siblings: Declined to Respond

SOCIAL HISTORY

  • Marital status: Single
  • Children: None
  • Occupation/Assignment: Science Office on the USS Victory.
  • Diet: Normal
  • Exercise: Moderate

PHYSICIANS' NOTES

  • Medical Officer:
  • Medical Assessment:

COUNSELORS' NOTES

  • Counselor:
  • Psychological Assessment:
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