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Ashley Roy/Medical Record: Difference between revisions
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{{Medical Record LCARS | {{Medical Record LCARS | ||
|SERIAL NUMBER= | |SERIAL NUMBER= TBA | ||
|BIRTHYEAR= | |BIRTHYEAR= 2364 | ||
|BIRTHMONTH= 01 | |BIRTHMONTH= 01 | ||
|BIRTHDATE= | |BIRTHDATE= 04 | ||
|SEX= | |SEX= Male | ||
|SPECIES= [[Human]] | |SPECIES= [[Human]] | ||
|HEIGHT= | |HEIGHT= | ||
|WEIGHT= | |WEIGHT= | ||
|BLOOD TYPE= | |BLOOD TYPE= | ||
|T/E RATING= | |T/E RATING= | ||
|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:''' | *'''2388:''' | ||
|PAST SURGICAL HISTORY= | |PAST SURGICAL HISTORY= | ||
|PSYCHIATRIC HISTORY= None | |PSYCHIATRIC HISTORY= None | ||
|ALCOHOL USE= | |ALCOHOL USE= | ||
|RECREATIONAL DRUG USE= | |RECREATIONAL DRUG USE= | ||
|OTHER SUBSTANCE USE= | |OTHER SUBSTANCE USE= | ||
|MOTHER MEDICAL HISTORY= | |MOTHER MEDICAL HISTORY= | ||
|FATHER MEDICAL HISTORY= | |FATHER MEDICAL HISTORY= | ||
|SIBLING MEDICAL HISTORY= | |SIBLING MEDICAL HISTORY= | ||
|MARITAL STATUS & SPOUSE= | |MARITAL STATUS & SPOUSE= | ||
|CHILDREN= | |CHILDREN= | ||
|OCCUPATION= | |OCCUPATION= | ||
|DIET= | |DIET= | ||
|EXERCISE= | |EXERCISE= | ||
|PHYSICIANS NOTE= | |PHYSICIANS NOTE= | ||
|COUNSELORS NOTE= | |COUNSELORS NOTE= | ||
}} | }} | ||
[[Category:Medical Records]] | [[Category:Medical Records]] | ||