Difference between revisions of "Alexander Richards/Medical Reports"

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{{UnderConstruction|Alexander Richards}}
 
{{UnderConstruction|Alexander Richards}}
 
{{Richards Main}}
 
{{Richards Main}}
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{|style="max-width:700px"
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|style="background:teal;" width="100"|
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|width="600" colspan=2|[[File:Starfleet Medical.png|right|150px|link=Category:Medical Records]]
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===LAST NAME, FIRST NAME MIDDLE NAME===
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*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' EZ - 123 - 456
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*'''Date of Birth:'''
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**'''Age:''' {{age|2360|03|31}}
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*'''Sex:'''
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*'''Species:'''
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|-
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|style="background:teal; border-radius: 0 0 0 14px; border:0px solid #AFA3BF"|
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|style="background:teal" |
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!width=180 align=right|<font size="4" color=teal>MEDICAL RECORD</font>
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|-
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|style="background:teal; border-radius: 14px 0 0 0; border:0px solid #AFA3BF"|
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|colspan=2|
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*'''Height:''' 178 cm (5'10")
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*'''Weight:''' 73 kilos (160 lbs)
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*'''Blood Type:'''
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*'''[[T/E Rating]]:'''
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|-
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|style="background:teal;"|
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|colspan=2|
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===PAST MEDICAL HISTORY===
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*'''Chronic Illnesses:'''
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*'''Medications:'''
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*'''Allergies and Reactions:'''
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*'''Sexual/Reproductive History:'''
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|-
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|style="background:teal;"|
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|colspan=2|
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===PAST HOSPITALIZATIONS/SERIOUS ILLNESS===
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*'''SD 237005.05:'''
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*'''SD 237007.05:'''
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===PAST SURGICAL HISTORY===
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*'''SD 237005.05:'''
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*'''SD 237007.05:'''
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|-
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|style="background:teal;"|
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|colspan=2|
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===PSYCHIATRIC HISTORY===
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===SUBSTANCE USE HISTORY===
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*'''Alcohol:'''
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*'''Recreation Drugs:'''
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*'''Other:'''
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|-
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|style="background:teal;"|
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|colspan=2|
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===FAMILY MEDICAL HISTORY===
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*'''Mother:'''
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*'''Father:'''
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*'''Siblings:'''
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|-
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|style="background:teal;"|
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|colspan=2|
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===SOCIAL HISTORY===
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*'''Marital status:'''
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*'''Children:'''
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*'''Occupation/Assignment:'''
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*'''Diet:'''
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*'''Exercise:'''
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|-
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|style="background:teal;" colspan=3 height=4|
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|-
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|style="background:teal;"|
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|colspan=2|
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===PHYSICIANS' NOTES===
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*'''Medical Officer:'''
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*'''Medical Assessment:'''
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|-
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|style="background:teal;"|
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|colspan=2|
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===COUNSELORS' NOTES===
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*'''Counselor:'''
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*'''Psychological Assessment:'''
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|}
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__NOTOC__
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[[Category:Medical Records]]
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 +
  
 
{{Gemini-crew}}
 
{{Gemini-crew}}
 
[[Category:Alexander Richards|Medical Records]]
 
[[Category:Alexander Richards|Medical Records]]

Revision as of 01:28, 8 May 2014

Note: This page is currently under construction.
This notice was placed here by Alexander Richards, so go bug them to finish the page if nothing's happening.


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Starfleet Medical.png

LAST NAME, FIRST NAME MIDDLE NAME

MEDICAL RECORD
  • Height: 178 cm (5'10")
  • Weight: 73 kilos (160 lbs)
  • Blood Type:
  • T/E Rating:

PAST MEDICAL HISTORY

  • Chronic Illnesses:
  • Medications:
  • Allergies and Reactions:
  • Sexual/Reproductive History:

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

  • SD 237005.05:
  • SD 237007.05:

PAST SURGICAL HISTORY

  • SD 237005.05:
  • SD 237007.05:

PSYCHIATRIC HISTORY

SUBSTANCE USE HISTORY

  • Alcohol:
  • Recreation Drugs:
  • Other:

FAMILY MEDICAL HISTORY

  • Mother:
  • Father:
  • Siblings:

SOCIAL HISTORY

  • Marital status:
  • Children:
  • Occupation/Assignment:
  • Diet:
  • Exercise:

PHYSICIANS' NOTES

  • Medical Officer:
  • Medical Assessment:

COUNSELORS' NOTES

  • Counselor:
  • Psychological Assessment:



NPC Listing   ·   USS Gemini Crew Manifest   ·   Crew History
Roster-frost.jpg
Captain
Liam Frost
Roster-blair.jpg
First Officer
Alex Blair
Roster-Larson.jpg
Science Officer
Alana Larson
Roster-richards.jpg
Science Officer
Alexander Richards
Lan Riel.png
Counselor
Lan Riel
Kali2012b.jpg
Medical Officer
Kali Nicholotti
Roster-weston.jpg
Intel Officer
Oliver Weston
Roster-tmar.jpg
Mission Spec.
T'Mar
Roster-shayne.jpg
Helm Officer
Randal Shayne
Roster-blank.jpg
Engineering Officer
Inde
Atimen.jpg
Chief of Security
Nemitor Atimen
Roster-blank.jpg
Security Officer
Jonhar Mayne
GEsAleh.jpg
Tactical Officer
Gina EsAleh
MooreHeadTemp.jpg
Tactical Officer
Stephanie Moore
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