821
edits
Karynn Ehlanii Brice/Medical Record: Difference between revisions
→LAST NAME, FIRST NAME MIDDLE NAME
(Created page with "{{subst:Medical Record}}") |
|||
| Line 4: | Line 4: | ||
|width="600" colspan=2|[[File:Starfleet Medical.png|right|150px|link=Category:Medical Records]] | |width="600" colspan=2|[[File:Starfleet Medical.png|right|150px|link=Category:Medical Records]] | ||
===LAST NAME, FIRST NAME MIDDLE NAME=== | ===LAST NAME, FIRST NAME MIDDLE NAME=== | ||
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' | *'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' DJ-385-263 | ||
*'''Date of Birth:''' | *'''Date of Birth:''' 235704.08 | ||
**'''Age:''' | **'''Age:''' 34 | ||
*'''Sex:''' | *'''Sex:''' Female | ||
*'''Species:''' | *'''Species:''' Haliian | ||
|- | |- | ||
|style="background:teal; border-radius: 0 0 0 14px; border:0px solid #AFA3BF"| | |style="background:teal; border-radius: 0 0 0 14px; border:0px solid #AFA3BF"| | ||
| Line 16: | Line 16: | ||
|style="background:teal; border-radius: 14px 0 0 0; border:0px solid #AFA3BF"| | |style="background:teal; border-radius: 14px 0 0 0; border:0px solid #AFA3BF"| | ||
|colspan=2| | |colspan=2| | ||
*'''Height:''' | *'''Height:''' 5'4" | ||
*'''Weight:''' | *'''Weight:''' 125 lbs. | ||
*'''Blood Type:''' | *'''Blood Type:''' Not Human | ||
*'''[[T/E Rating]]:''' | *'''[[T/E Rating]]:''' E3 | ||
|- | |- | ||
|style="background:teal;"| | |style="background:teal;"| | ||
|colspan=2| | |colspan=2| | ||
===PAST MEDICAL HISTORY=== | ===PAST MEDICAL HISTORY=== | ||
*'''Chronic Illnesses:''' | *'''Chronic Illnesses:''' | ||