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Template:Medical Record: Difference between revisions
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→LAST NAME, FIRST NAME MIDDLE NAME
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|colspan=2|[[File:Starfleet Medical.png|right|150px|link=]] | |colspan=2|[[File:Starfleet Medical.png|right|150px|link=]] | ||
===LAST NAME, FIRST NAME MIDDLE NAME=== | ===LAST NAME, FIRST NAME MIDDLE NAME=== | ||
*'''Patient Reference Number:''' | *'''Patient Reference Number:''' 123-456-789 | ||
*'''Date of Birth:''' | *'''Date of Birth:''' | ||
**'''Age:''' {{age|2360|03|31}} | **'''Age:''' {{age|2360|03|31}} | ||
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|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"| | ||
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*'''Height:''' | *'''Height:''' 178 cm (5'10") | ||
*'''Weight:''' | *'''Weight:''' 73 kilos (160 lbs) | ||
*'''Blood Type:''' | *'''Blood Type:''' | ||
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|style="background:teal;"| | |style="background:teal;"| | ||
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===PAST MEDICAL HISTORY=== | ===PAST MEDICAL HISTORY=== | ||
*'''Chronic Illnesses:''' | *'''Chronic Illnesses:''' | ||