Alexander Richards/Medical Reports: Difference between revisions

From 118Wiki
Jump to navigation Jump to search
m (adding medical template)
m (began editing.)
Line 9: Line 9:
|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:]]''' EZ - 123 - 456
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' IA - 122 - 737
*'''Date of Birth:'''
*'''Date of Birth:''' 236111.06
**'''Age:''' {{age|2360|03|31}}
**'''Age:''' {{age|2361|11|06}}
*'''Sex:'''
*'''Sex:''' Male
*'''Species:'''
*'''Species:''' Terran
|-
|-
|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 21: Line 21:
|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:''' 178 cm (5'10")
*'''Height:''' 188 cm (6'2")
*'''Weight:''' 73 kilos (160 lbs)
*'''Weight:''' 95 kilos (210 lbs)
*'''Blood Type:'''
*'''Blood Type:''' A
*'''[[T/E Rating]]:'''
*'''[[T/E Rating]]:''' 0
|-
|-
|style="background:teal;"|
|style="background:teal;"|
|colspan=2|
|colspan=2|
===PAST MEDICAL HISTORY===
===PAST MEDICAL HISTORY===
*'''Chronic Illnesses:'''
*'''Chronic Illnesses:''' Paralyzed owing to alien pathogen attached to his lower nervous system. No known cure.
*'''Medications:'''
*'''Medications:''' None
*'''Allergies and Reactions:'''
*'''Allergies and Reactions:''' None
*'''Sexual/Reproductive History:'''
*'''Sexual/Reproductive History:''' One partner, has had one child. Not currently sexually active.
|-
|-
|style="background:teal;"|
|style="background:teal;"|
Line 46: Line 46:
|style="background:teal;"|
|style="background:teal;"|
|colspan=2|
|colspan=2|
===PSYCHIATRIC HISTORY===


===SUBSTANCE USE HISTORY===
*'''Alcohol:'''
*'''Recreation Drugs:'''
*'''Other:'''
|-
|-
|style="background:teal;"|
|style="background:teal;"|
Line 79: Line 74:
|style="background:teal;"|
|style="background:teal;"|
|colspan=2|
|colspan=2|
===COUNSELORS' NOTES===
*'''Counselor:'''
*'''Psychological Assessment:'''
|}
|}
__NOTOC__
[[Category:Medical Records]]




{{Gemini-crew}}
{{Gemini-crew}}
[[Category:Alexander Richards|Medical Records]]
[[Category:Alexander Richards|Medical Records]]
[[Category:Medical Records]]

Revision as of 01:39, 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.


Navigation
MainFamilyQuartersPersonalProfessional
Academy TranscriptMedical ReportsCounseling Reports
Sim Archive 1Sim Archive 2


Starfleet Medical.png

LAST NAME, FIRST NAME MIDDLE NAME

MEDICAL RECORD
  • Height: 188 cm (6'2")
  • Weight: 95 kilos (210 lbs)
  • Blood Type: A
  • T/E Rating: 0

PAST MEDICAL HISTORY

  • Chronic Illnesses: Paralyzed owing to alien pathogen attached to his lower nervous system. No known cure.
  • Medications: None
  • Allergies and Reactions: None
  • Sexual/Reproductive History: One partner, has had one child. Not currently sexually active.

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

  • SD 237005.05:
  • SD 237007.05:

PAST SURGICAL HISTORY

  • SD 237005.05:
  • SD 237007.05:

FAMILY MEDICAL HISTORY

  • Mother:
  • Father:
  • Siblings:

SOCIAL HISTORY

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

PHYSICIANS' NOTES

  • Medical Officer:
  • Medical 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
Edit This Nav