Jerry Reid/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]]
|width="600" colspan=2|[[File:Starfleet Medical.png|right|150px|link=Category:Medical Records]]
===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:]]''' GZ - 548 - 277
*'''Date of Birth:'''
*'''Date of Birth:'''
**'''Age:''' {{age|2360|03|31}}
**'''Age:''' 41
*'''Sex:'''
*'''Sex:'''Male
*'''Species:'''
*'''Species:'''Centaurian/Sherseval
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