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|BirthMonth = 09 | |BirthMonth = 09 | ||
|BirthDate = 29 | |BirthDate = 29 | ||
|BirthYear = | |BirthYear = 236209 | ||
|BirthPlace = Betazed | |BirthPlace = Betazed | ||
|Extra =<center>{{sChar|First=Anastasha|Last=Broi|Sub=AcademyDiploma|Title=Academy | |Extra =<center>{{sChar|First=Anastasha|Last=Broi|Sub=AcademyDiploma|Title=Academy | ||
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{{Medical Record LCARS | {{Medical Record LCARS | ||
|SERIAL NUMBER= | |SERIAL NUMBER= | ||
|BIRTHYEAR= | |BIRTHYEAR= 2362 | ||
|BIRTHMONTH= | |BIRTHMONTH= 09 | ||
|BIRTHDATE= | |BIRTHDATE= 29 | ||
|SEX= Female | |SEX= Female | ||
|SPECIES= [[Betazoid]] | |SPECIES= [[Betazoid]] | ||
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|WEIGHT= 115 lbs | |WEIGHT= 115 lbs | ||
|BLOOD TYPE= O+ | |BLOOD TYPE= O+ | ||
|T/E RATING= | |T/E RATING= T6/E6 | ||
|CHRONIC ILLNESSES= None | |CHRONIC ILLNESSES= None | ||
|MEDICATIONS= None | |MEDICATIONS= None | ||
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|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | |PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | ||
|PAST SURGICAL HISTORY= | |PAST SURGICAL HISTORY= | ||
*Surgery left knee | |||
|PSYCHIATRIC HISTORY= | |PSYCHIATRIC HISTORY= | ||
|ALCOHOL USE= None | |ALCOHOL USE= None | ||
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|OCCUPATION= Counselor | |OCCUPATION= Counselor | ||
|DIET= Omnivore | |DIET= Omnivore | ||
|EXERCISE= | |EXERCISE= | ||
*running | |||
*Dancing | |||
|PHYSICIANS NOTE= | |PHYSICIANS NOTE= | ||
|COUNSELORS NOTE= | |COUNSELORS NOTE= |
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