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{{Medical Record LCARS | {{Medical Record LCARS | ||
|SERIAL NUMBER= EZ - 123 - 456 | |SERIAL NUMBER= EZ - 123 - 456 | ||
|BIRTHYEAR= | |BIRTHYEAR= 2362 | ||
|BIRTHMONTH= | |BIRTHMONTH= 03 | ||
|BIRTHDATE= | |BIRTHDATE= 10 | ||
|SEX= | |SEX= Male | ||
|SPECIES= [[ | |SPECIES= [[Bactrican]] | ||
|HEIGHT= | |HEIGHT= | ||
|WEIGHT= | |WEIGHT= | ||
|BLOOD TYPE= | |BLOOD TYPE= | ||
|T/E RATING= T0 | |T/E RATING= T0/E0 | ||
|CHRONIC ILLNESSES= None | |CHRONIC ILLNESSES= None | ||
|MEDICATIONS= None | |MEDICATIONS= None | ||
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|SEXUAL/REPRODUCTIVE HISTORY= Longterm male partner | |SEXUAL/REPRODUCTIVE HISTORY= Longterm male partner | ||
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | |PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | ||
|PAST SURGICAL HISTORY= | |PAST SURGICAL HISTORY= | ||
*'''SD | *'''SD :''' | ||
**'''Surgeon:''' {{n|Niccolò|del Vedova}}, MD | **'''Surgeon:''' {{n|Niccolò|del Vedova}}, MD | ||
**'''OR Site:''' {{USS|Mercury}} | **'''OR Site:''' {{USS|Mercury}} |