Jana Zicv/Medical Record: Difference between revisions
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{{Medical Record LCARS | {{Medical Record LCARS | ||
|SERIAL NUMBER= EZ - 123 - 456 | |SERIAL NUMBER= EZ - 123 - 456 | ||
|BIRTHYEAR= | |BIRTHYEAR= 2362 | ||
|BIRTHMONTH= | |BIRTHMONTH= 04 | ||
|BIRTHDATE= | |BIRTHDATE= 30 | ||
|SEX= Female | |SEX= Female | ||
|SPECIES= [[ | |SPECIES= [[Melthusian]] | ||
|HEIGHT= | |HEIGHT= 177 cm (5'10") | ||
|WEIGHT= | |WEIGHT= 58 kilos (128 lbs) | ||
|BLOOD TYPE= | |BLOOD TYPE= ? | ||
|T/E RATING= T0 | |T/E RATING= T0+ | ||
|CHRONIC ILLNESSES= None | |CHRONIC ILLNESSES= None | ||
|MEDICATIONS= None | |MEDICATIONS= None | ||
|ALLERGIES & REACTIONS= | |ALLERGIES & REACTIONS= ? | ||
|SEXUAL/REPRODUCTIVE HISTORY= | |SEXUAL/REPRODUCTIVE HISTORY= ? | ||
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | |PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | ||
*'''2388:''' Tarkalean flu | *'''2388:''' Tarkalean flu | ||
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[[Category:Medical Records]] | [[Category:Medical Records]] | ||
Revision as of 23:33, 15 July 2020
Jana Zicv
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MEDICAL RECORD | ||
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PAST MEDICAL HISTORY
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PAST HOSPITALIZATIONS/SERIOUS ILLNESS
PAST 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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