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{{Medical Record LCARS | {{Medical Record LCARS | ||
|SERIAL NUMBER= EZ - 123 - 456 | |SERIAL NUMBER= EZ - 123 - 456 | ||
|BIRTHYEAR= | |BIRTHYEAR= 2366 | ||
|BIRTHMONTH= | |BIRTHMONTH= 04 | ||
|BIRTHDATE= | |BIRTHDATE= 23 | ||
|SEX= Female | |SEX= Female | ||
|SPECIES= [[ | |SPECIES= [[Vulcan]]/[[Betazoid]] | ||
|HEIGHT= | |HEIGHT= 5'8" | ||
|WEIGHT= | |WEIGHT= 128 pounds | ||
|BLOOD TYPE= | |BLOOD TYPE= | ||
|T/E RATING= | |T/E RATING= T3/E6 | ||
|CHRONIC ILLNESSES= None | |CHRONIC ILLNESSES= None | ||
|MEDICATIONS= None | |MEDICATIONS= None | ||
|ALLERGIES & REACTIONS= | |ALLERGIES & REACTIONS= None | ||
|SEXUAL/REPRODUCTIVE HISTORY= | |SEXUAL/REPRODUCTIVE HISTORY= | ||
Numerous partners of various genders. Last Pon Farr in early 2387, next expected to begin on roughly 239401.07. | |||
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | |PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | ||
* | * | ||
|PAST SURGICAL HISTORY= | |PAST SURGICAL HISTORY= | ||
*'''SD | *'''SD 237707.11:''' Surgery to repair broken arm | ||
**'''Surgeon:''' | **'''Surgeon:''' Unknown | ||
**'''OR Site:''' | **'''OR Site:''' Unknown | ||
**'''Op Note:''' | **'''Op Note:''' None | ||
|PSYCHIATRIC HISTORY= | |PSYCHIATRIC HISTORY= Patient has history of trauma due to interactions with the [[Orion Syndicate]] as well as the loss of her mother in 2374. Despite this her use of counseling services has been minimal. | ||
|ALCOHOL USE= | |ALCOHOL USE= Occasional | ||
|RECREATIONAL DRUG USE= None | |RECREATIONAL DRUG USE= None | ||
|OTHER SUBSTANCE USE= None | |OTHER SUBSTANCE USE= None | ||
|MOTHER MEDICAL HISTORY= None | |MOTHER MEDICAL HISTORY= None | ||
|FATHER MEDICAL HISTORY= | |FATHER MEDICAL HISTORY= None | ||
|SIBLING MEDICAL HISTORY= None | |SIBLING MEDICAL HISTORY= None | ||
|MARITAL STATUS & SPOUSE= | |MARITAL STATUS & SPOUSE= Unmarried | ||
|CHILDREN= | |CHILDREN= None | ||
|OCCUPATION= | |OCCUPATION= Intelligence Officer | ||
|DIET= Vegetarian | |DIET= Largely Vegetarian | ||
|EXERCISE= Running, 3 times a week | |EXERCISE= Running, 3 times a week | ||
|PHYSICIANS NOTE= | |PHYSICIANS NOTE= | ||
*'''SD | *'''SD 239307.23 - Medical Officer:''' {{n|Mirra|Ezo}}, CMO, [[Starbase 118 Ops]] | ||
*'''Medical Assessment: | *'''Medical Assessment: | ||
<hr> | <hr> | ||
|COUNSELORS NOTE= | |COUNSELORS NOTE= | ||
*'''SD 239004.28 - Counselor:''' | *'''SD 239004.28 - Counselor:''' [[T%27Sai Reyes]], [[Starbase 118 Ops]] | ||
*'''Counseling Assessment:''' | *'''Counseling Assessment:''' | ||
}} | }} | ||
[[Category:Medical Records]] | [[Category:Medical Records]] | ||
[[Category:Aitas|Medical Record]] |
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