9,765
edits
Trekkie0587 (talk | contribs) (Created page with "{{subst:Medical Record}}") |
Trekkie0587 (talk | contribs) No edit summary |
||
Line 1: | Line 1: | ||
{{Medical Record LCARS | {{Medical Record LCARS | ||
|SERIAL NUMBER= | |SERIAL NUMBER= SO - 219 - 987 | ||
|BIRTHYEAR= | |BIRTHYEAR= 2361 | ||
|BIRTHMONTH= | |BIRTHMONTH= 02 | ||
|BIRTHDATE= | |BIRTHDATE= 19 | ||
|SEX= | |SEX= Male | ||
|SPECIES= [[ | |SPECIES= [[Brekkian]]/[[Ornaran]] | ||
|HEIGHT= | |HEIGHT= 6'0 | ||
|WEIGHT= | |WEIGHT= 223 lbs | ||
|BLOOD TYPE= | |BLOOD TYPE= O+ | ||
|T/E RATING= T0 | |T/E RATING= T0+/E0+ | ||
|CHRONIC ILLNESSES= None | |CHRONIC ILLNESSES= None | ||
|MEDICATIONS= None | |MEDICATIONS= None | ||
|ALLERGIES & REACTIONS= | |ALLERGIES & REACTIONS= | ||
|SEXUAL/REPRODUCTIVE HISTORY= | |SEXUAL/REPRODUCTIVE HISTORY= | ||
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | |PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | ||
|PAST SURGICAL HISTORY= | |PAST SURGICAL HISTORY= | ||
|PSYCHIATRIC HISTORY= None | |PSYCHIATRIC HISTORY= None | ||
|ALCOHOL USE= 2 glasses of wine per week | |ALCOHOL USE= 2 glasses of wine per week | ||
Line 26: | Line 21: | ||
|OTHER SUBSTANCE USE= None | |OTHER SUBSTANCE USE= None | ||
|MOTHER MEDICAL HISTORY= None | |MOTHER MEDICAL HISTORY= None | ||
|FATHER MEDICAL HISTORY= | |FATHER MEDICAL HISTORY= None | ||
|SIBLING MEDICAL HISTORY= None | |SIBLING MEDICAL HISTORY= None | ||
|MARITAL STATUS & SPOUSE= | |MARITAL STATUS & SPOUSE= None | ||
|CHILDREN= | |CHILDREN= None | ||
|OCCUPATION= | |OCCUPATION= Science Officer | ||
|DIET= | |DIET= Omnivorous | ||
|EXERCISE= Running, | |EXERCISE= Running, 5 times a week | ||
|PHYSICIANS NOTE= | |PHYSICIANS NOTE= | ||
*'''SD | *'''SD - Medical Officer:''' | ||
*'''Medical Assessment:''' | *'''Medical Assessment:''' | ||
|COUNSELORS NOTE= | |COUNSELORS NOTE= | ||
*'''SD | *'''SD - Counselor:''' | ||
*'''Counseling Assessment:''' | *'''Counseling Assessment:''' | ||
}} | }} | ||
[[Category:Medical Records]] | [[Category:Medical Records]] |