Connan MacMorna/Medical Record: Difference between revisions

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|BLOOD TYPE=  
|BLOOD TYPE=  
|T/E RATING=  
|T/E RATING=  
|CHRONIC ILLNESSES= None
|CHRONIC ILLNESSES=  
|MEDICATIONS= None
|MEDICATIONS=  
|ALLERGIES & REACTIONS=  
|ALLERGIES & REACTIONS=  
|SEXUAL/REPRODUCTIVE HISTORY=  
|SEXUAL/REPRODUCTIVE HISTORY=  

Revision as of 02:31, 10 February 2017

Starfleet Medical.png

Connan MacMorna

MEDICAL RECORD
  • Height: 161 cm (5'11")
  • Weight:
  • Blood Type:
  • T/E Rating:

PAST MEDICAL HISTORY

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

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

PAST SURGICAL HISTORY

PSYCHIATRIC HISTORY

SUBSTANCE USE HISTORY

  • Alcohol:
  • Recreation Drugs:
  • Other:

FAMILY MEDICAL HISTORY

  • Siblings:

SOCIAL HISTORY

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

PHYSICIANS' NOTES

  • SD 239302.09 - Medical Officer: Dassa Alexander, ChD, PD, PDS, USS Gorkon
  • Medical Assessment: Ensign MacMorna reported for his first physical.

COUNSELORS' NOTES

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