Template:Medical Record/Example

{{{{Medical Record LCARS
|SERIAL NUMBER= HC-018-080
|BIRTHYEAR= 2371
|BIRTHMONTH= 09
|BIRTHDATE= 02
|SEX= Female
|SPECIES= [[Human]] / [[Centauran]]
|HEIGHT= 1.67 m
|WEIGHT= 54 kg
|BLOOD TYPE= AB positive
|T/E RATING= T0/E0
|CHRONIC ILLNESSES= None
|MEDICATIONS= Receiving regular contraceptive injections
|ALLERGIES & REACTIONS= Possible intolerance for certain grains (i.e. hops)
|SEXUAL/REPRODUCTIVE HISTORY= Active, no pregnancies
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS=
*None
|PAST SURGICAL HISTORY=
*'''2371''': At birth, left leg amputation (due to complications)
*'''2372''': At 8 months, bioelectrical implantation for neurologically-controlled prosthesis
*'''2390''': At 19 years, wisdom teeth removal
|PSYCHIATRIC HISTORY= 
*None, regular counselling
|ALCOHOL USE= Occasional
|RECREATIONAL DRUG USE= None
|OTHER SUBSTANCE USE= Mild caffeine intake
|PARENT 1 = Birth Mother
|PARENT 1 MEDICAL HISTORY= Melissa Hopper (Human),  civilian file not available without requisition
|PARENT 2 = Biological Mother
|PARENT 2 MEDICAL HISTORY= Ansyra Hopper (Centauran), civilian file not available without requisition
|SIBLING MEDICAL HISTORY= Kerilyn Hopper (Human/Centauran), civilian file not available without requisition
|MARITAL STATUS & SPOUSE= Single
|CHILDREN= None
|OCCUPATION= Chief Science Officer, [[Amity Outpost]]
|DIET= Vegetarian
|EXERCISE= Typical aerobics, cardiovascular health optimal
|PHYSICIANS NOTE=
*'''239708.11 - Dr. Duran Larx''' (CMO, [[USS Wall Street]]): Ensign Hopper's health is excellent; Routine check-ups recommended.
*
|COUNSELORS NOTE=
* None on file
}}

	Medical Record Patient Reference Number: HC-018-080 Date of Birth: 237109.02 Age: 30 Sex: Female Species: Human / Centauran
		MEDICAL RECORD
	Height: 1.67 m Weight: 54 kg Blood Type: AB positive T/E Rating: T0/E0
	PAST MEDICAL HISTORY Chronic Illnesses: None Medications: Receiving regular contraceptive injections Allergies and Reactions: Possible intolerance for certain grains (i.e. hops) Sexual/Reproductive History: Active, no pregnancies
	PAST HOSPITALIZATIONS/SERIOUS ILLNESS None PAST SURGICAL HISTORY 2371: At birth, left leg amputation (due to complications) 2372: At 8 months, bioelectrical implantation for neurologically-controlled prosthesis 2390: At 19 years, wisdom teeth removal
	PSYCHIATRIC HISTORY None, regular counselling SUBSTANCE USE HISTORY Alcohol: Occasional Recreation Drugs: None Other: Mild caffeine intake
	FAMILY MEDICAL HISTORY Parent 1 (Birth Mother): Melissa Hopper (Human), civilian file not available without requisition Parent 2 (Biological Mother): Ansyra Hopper (Centauran), civilian file not available without requisition Siblings: Kerilyn Hopper (Human/Centauran), civilian file not available without requisition
	SOCIAL HISTORY Marital status: Single Children: None Occupation/Assignment: Chief Science Officer, Amity Outpost Diet: Vegetarian Exercise: Typical aerobics, cardiovascular health optimal
	PHYSICIANS' NOTES 239708.11 - Dr. Duran Larx (CMO, USS Wall Street): Ensign Hopper's health is excellent; Routine check-ups recommended.
	COUNSELORS' NOTES None on file