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{{Section|Medical Record|Gold}} | |||
{{Medical Record LCARS | |||
|SERIAL NUMBER= | |||
|BIRTHYEAR= 2359 | |||
|BIRTHMONTH= 04 | |||
|BIRTHDATE= 16 | |||
|SEX= Male | |||
|SPECIES= [[Human]] / [[Betazoid]] Hybrid | |||
|HEIGHT= 1.8 Meters | |||
|WEIGHT= 84 kilos | |||
|BLOOD TYPE= | |||
|T/E RATING= E0+ | |||
|CHRONIC ILLNESSES= None | |||
|MEDICATIONS= None | |||
|ALLERGIES & REACTIONS= None known | |||
|SEXUAL/REPRODUCTIVE HISTORY= | |||
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | |||
*'''2388:''' | |||
|PAST SURGICAL HISTORY= | |||
*'''SD 239110.14:''' Left Arm amputation | |||
**'''Surgeon:''' N/A Self Amputation due to corrosive venom bite | |||
**'''OR Site:''' {{USS|Victory}} | |||
**'''Op Note:''' | |||
|PSYCHIATRIC HISTORY= None | |||
|ALCOHOL USE= | |||
|RECREATIONAL DRUG USE= None | |||
|OTHER SUBSTANCE USE= None | |||
|MOTHER MEDICAL HISTORY= None | |||
|FATHER MEDICAL HISTORY= None | |||
|SIBLING MEDICAL HISTORY= None | |||
|MARITAL STATUS & SPOUSE= Single | |||
|CHILDREN= None | |||
|OCCUPATION= Tactical / Security Officer | |||
|DIET= | |||
|EXERCISE= | |||
|PHYSICIANS NOTE= | |||
*'''SD - Medical Officer:''' | |||
*'''Medical Assessment:''' | |||
<hr> | |||
*'''SD - Medical Officer:''' | |||
*'''Addendum:''' | |||
|COUNSELORS NOTE= | |||
*'''SD - Counselor:''' | |||
*'''Counseling Assessment:''' | |||
}} | |||
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