Karynn Ehlanii Brice/Medical Record: Difference between revisions

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(Created page with "{{subst:Medical Record}}")
 
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|width="600" colspan=2|[[File:Starfleet Medical.png|right|150px|link=Category:Medical Records]]
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===LAST NAME, FIRST NAME MIDDLE NAME===
===LAST NAME, FIRST NAME MIDDLE NAME===
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' EZ - 123 - 456
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' DJ-385-263
*'''Date of Birth:'''
*'''Date of Birth:''' 235704.08
**'''Age:''' {{age|2360|03|31}}
**'''Age:''' 34
*'''Sex:'''
*'''Sex:''' Female
*'''Species:'''
*'''Species:''' Haliian
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*'''Height:''' 178 cm (5'10")
*'''Height:''' 5'4"  
*'''Weight:''' 73 kilos (160 lbs)
*'''Weight:''' 125 lbs.
*'''Blood Type:'''
*'''Blood Type:''' Not Human
*'''[[T/E Rating]]:'''
*'''[[T/E Rating]]:''' E3
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===PAST MEDICAL HISTORY===
===PAST MEDICAL HISTORY===
*'''Chronic Illnesses:'''
*'''Chronic Illnesses:'''
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