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Template:Medical Record: Difference between revisions
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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:''' 178 cm (5'10") | *'''Height:''' 178 cm (5'10") | ||
*'''Weight:''' 73 kilos (160 lbs) | *'''Weight:''' 73 kilos (160 lbs) | ||
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|style="background:teal;"| | |style="background:teal;"| | ||
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===PAST MEDICAL HISTORY=== | ===PAST MEDICAL HISTORY=== | ||
*'''Chronic Illnesses:''' | *'''Chronic Illnesses:''' | ||
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|style="background:teal;"| | |style="background:teal;"| | ||
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===PAST HOSPITALIZATIONS/SERIOUS ILLNESS=== | ===PAST HOSPITALIZATIONS/SERIOUS ILLNESS=== | ||
*'''SD 237005.05:''' | *'''SD 237005.05:''' | ||
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|style="background:teal;"| | |style="background:teal;"| | ||
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===PSYCHIATRIC HISTORY=== | ===PSYCHIATRIC HISTORY=== | ||
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|style="background:teal;"| | |style="background:teal;"| | ||
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===FAMILY MEDICAL HISTORY=== | ===FAMILY MEDICAL HISTORY=== | ||
*'''Mother:''' | *'''Mother:''' | ||
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|style="background:teal;"| | |style="background:teal;"| | ||
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===SOCIAL HISTORY=== | ===SOCIAL HISTORY=== | ||
*'''Marital status:''' | *'''Marital status:''' | ||
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|style="background:teal;" colspan=3 height=4| | |style="background:teal;" colspan=3 height=4| | ||
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|style="background:teal;"| | |style="background:teal;"| | ||
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===PHYSICIANS' NOTES=== | ===PHYSICIANS' NOTES=== | ||
*'''Medical Officer:''' | *'''Medical Officer:''' | ||
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|style="background:teal;"| | |style="background:teal;"| | ||
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===COUNSELORS' NOTES=== | ===COUNSELORS' NOTES=== | ||
*'''Counselor:''' | *'''Counselor:''' | ||