Beelam Grog/Medical Record

{{Medical Record LCARS |SERIAL NUMBER= |BIRTHYEAR= |BIRTHMONTH= |BIRTHDATE= |SEX= Female |SPECIES= [[] |HEIGHT= |WEIGHT= |BLOOD TYPE= |T/E RATING= T0 |CHRONIC ILLNESSES= |MEDICATIONS= |ALLERGIES & REACTIONS= |SEXUAL/REPRODUCTIVE HISTORY= |PAST HOSPITALIZATIONS/SERIOUS ILLNESS=

• 2388: Tarkalean flu

|PAST SURGICAL HISTORY=

|PSYCHIATRIC HISTORY= None |ALCOHOL USE= |RECREATIONAL DRUG USE= |OTHER SUBSTANCE USE= |MOTHER MEDICAL HISTORY= |FATHER MEDICAL HISTORY= |SIBLING MEDICAL HISTORY= |MARITAL STATUS & SPOUSE= |CHILDREN= |OCCUPATION= |DIET= |EXERCISE= |PHYSICIANS NOTE=

|COUNSELORS NOTE=