Iria/Medical Record: Difference between revisions
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(Created page with "{{Medical Record LCARS |SERIAL NUMBER= None on File |BIRTHYEAR= 2372 |BIRTHMONTH= 04 |BIRTHDATE= 19 |SEX= Female |SPECIES= Myrivan |HEIGHT= 5'5" |WEIGHT= 140 lbs. |BLOOD TYPE=...") |
m (Incomplete, but working on it.) |
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|CHRONIC ILLNESSES= None | |CHRONIC ILLNESSES= None | ||
|MEDICATIONS= None | |MEDICATIONS= None | ||
|ALLERGIES & REACTIONS= | |ALLERGIES & REACTIONS= No Known Allergies | ||
|SEXUAL/REPRODUCTIVE HISTORY= | |SEXUAL/REPRODUCTIVE HISTORY= Not Active | ||
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | |PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | ||
* | * | ||
|PAST SURGICAL HISTORY= | |PAST SURGICAL HISTORY= | ||
*'''SD | *'''SD 2****.**:''' | ||
**'''Surgeon:''' | **'''Surgeon:''' | ||
**'''OR Site:''' | **'''OR Site:''' | ||
**'''Op Note:''' | **'''Op Note:''' | ||
|PSYCHIATRIC HISTORY= None | |PSYCHIATRIC HISTORY= None | ||
|ALCOHOL USE= | |ALCOHOL USE= None | ||
|RECREATIONAL DRUG USE= None | |RECREATIONAL DRUG USE= None | ||
|OTHER SUBSTANCE USE= None | |OTHER SUBSTANCE USE= None | ||
Line 30: | Line 30: | ||
|MARITAL STATUS & SPOUSE= Single | |MARITAL STATUS & SPOUSE= Single | ||
|CHILDREN= None | |CHILDREN= None | ||
|OCCUPATION= | |OCCUPATION= Governess | ||
|DIET= Omnivorous | |DIET= Omnivorous | ||
|EXERCISE= Li Sii Martial Arts | |EXERCISE= Li Sii Martial Arts |
Revision as of 16:48, 19 August 2015
Iria
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MEDICAL RECORD | ||
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PAST MEDICAL HISTORY
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PAST HOSPITALIZATIONS/SERIOUS ILLNESSPAST SURGICAL HISTORY
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PSYCHIATRIC HISTORYNone SUBSTANCE USE HISTORY
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FAMILY MEDICAL HISTORY
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SOCIAL HISTORY
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PHYSICIANS' NOTES
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COUNSELORS' NOTES
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