Anastasha Broi/Medical Record: Difference between revisions

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|BirthMonth = 09
|BirthMonth = 09
|BirthDate = 29
|BirthDate = 29
|BirthYear = 2362
|BirthYear = 236209
|BirthPlace = Betazed
|BirthPlace = Betazed
|Extra =<center>{{sChar|First=Anastasha|Last=Broi|Sub=AcademyDiploma|Title=Academy
|Extra =<center>{{sChar|First=Anastasha|Last=Broi|Sub=AcademyDiploma|Title=Academy
Line 27: Line 27:
{{Medical Record LCARS
{{Medical Record LCARS
|SERIAL NUMBER=  
|SERIAL NUMBER=  
|BIRTHYEAR= 239
|BIRTHYEAR= 2362
|BIRTHMONTH=  
|BIRTHMONTH= 09
|BIRTHDATE=  
|BIRTHDATE= 29
|SEX= Female
|SEX= Female
|SPECIES= [[Betazoid]]
|SPECIES= [[Betazoid]]
Line 35: Line 35:
|WEIGHT= 115 lbs
|WEIGHT= 115 lbs
|BLOOD TYPE= O+
|BLOOD TYPE= O+
|T/E RATING=  
|T/E RATING= T6/E6
|CHRONIC ILLNESSES= None
|CHRONIC ILLNESSES= None
|MEDICATIONS= None
|MEDICATIONS= None
Line 42: Line 42:
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS=
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS=
|PAST SURGICAL HISTORY=
|PAST SURGICAL HISTORY=
*Surgery left knee
|PSYCHIATRIC HISTORY=  
|PSYCHIATRIC HISTORY=  
|ALCOHOL USE= None
|ALCOHOL USE= None
Line 53: Line 54:
|OCCUPATION= Counselor
|OCCUPATION= Counselor
|DIET= Omnivore
|DIET= Omnivore
|EXERCISE=  
|EXERCISE=
*running
*Dancing
|PHYSICIANS NOTE=
|PHYSICIANS NOTE=
|COUNSELORS NOTE=  
|COUNSELORS NOTE=