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{{Medical Record LCARS | {{Medical Record LCARS | ||
|SERIAL NUMBER= | |SERIAL NUMBER= CZ - 368 - 824 | ||
|BIRTHYEAR= 2363 | |BIRTHYEAR= 2363 | ||
|BIRTHMONTH= | |BIRTHMONTH= 06 | ||
|BIRTHDATE= | |BIRTHDATE= 13 | ||
|SEX= Female | |SEX= Female | ||
|SPECIES= [[ | |SPECIES= [[Brekkian]]/[[Betazoid]] | ||
|HEIGHT= | |HEIGHT= 175 cm | ||
|WEIGHT= | |WEIGHT= 62 kilos | ||
|BLOOD TYPE= | |BLOOD TYPE= | ||
|T/E RATING= T0 | |T/E RATING= T0 | ||
|CHRONIC ILLNESSES= | |CHRONIC ILLNESSES= Not applicable | ||
|MEDICATIONS= None | |MEDICATIONS= None | ||
|ALLERGIES & REACTIONS= | |ALLERGIES & REACTIONS= Raktajino, Klingon shell squid (vomiting) | ||
|SEXUAL/REPRODUCTIVE HISTORY= | |SEXUAL/REPRODUCTIVE HISTORY= Long-term history with Vulcan male. Casual history with Human male. | ||
*First child, born 2389 | |||
*Second child, born 2391 | |||
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | |PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | ||
*''' | *'''2391:''' Recovery from surgery, Brekka | ||
|PAST SURGICAL HISTORY= | |PAST SURGICAL HISTORY= | ||
*'''SD | *'''SD 238808.11:''' Reconstruction and reconnection of lower spine. | ||
**'''Surgeon:''' {{ | **'''Surgeon:''' Doctor Curtis | ||
**'''OR Site:''' | **'''OR Site:''' {{USS|Challenger|A}} | ||
**'''Op Note:''' | **'''Op Note:''' Illegal use of thalaron particles, converted into metaphasic particles through an experimental procedure. Blake made a full recovery. | ||
|PSYCHIATRIC HISTORY= | *'''SD 239101.07:''' 'Removal' of telepathic lobe to correct chemical imbalance. | ||
|ALCOHOL USE= | **'''Surgeon:''' Unknown | ||
**'''OR Site:''' Brekka (Lornae State Medical Facility) | |||
**'''Op Note:''' Blake was diagnosed with retrograde amnesia following this surgery. | |||
|PSYCHIATRIC HISTORY= | |||
|ALCOHOL USE= Uncertain (colleagues report use to be frequent) | |||
|RECREATIONAL DRUG USE= None | |RECREATIONAL DRUG USE= None | ||
|OTHER SUBSTANCE USE= None | |OTHER SUBSTANCE USE= None |
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