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Tahna Meru (talk | contribs) (Created page with " {{subst:Medical Record}}") |
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{{Medical Record LCARS | {{Medical Record LCARS | ||
|SERIAL NUMBER= | |SERIAL NUMBER= TM - 202 - 198 | ||
|BIRTHYEAR= | |BIRTHYEAR= 2375 | ||
|BIRTHMONTH= | |BIRTHMONTH= 10 | ||
|BIRTHDATE= | |BIRTHDATE= 10 | ||
|SEX= Female | |SEX= Female | ||
|SPECIES= [[ | |SPECIES= [[Bajoran]] | ||
|HEIGHT= | |HEIGHT= 165 cm (5'5") | ||
|WEIGHT= | |WEIGHT= 59 kilos (132 lbs) | ||
|BLOOD TYPE= | |BLOOD TYPE= O | ||
|T/E RATING= T0 | |T/E RATING= T0 | ||
|CHRONIC ILLNESSES= None | |CHRONIC ILLNESSES= None | ||
|MEDICATIONS= None | |MEDICATIONS= None | ||
|ALLERGIES & REACTIONS= | |ALLERGIES & REACTIONS= None known | ||
|SEXUAL/REPRODUCTIVE HISTORY= | |SEXUAL/REPRODUCTIVE HISTORY= N/A | ||
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | |PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | ||
*''' | *'''2381:''' Tartha Pox | ||
|PAST SURGICAL HISTORY= | |PAST SURGICAL HISTORY= | ||
* | *None | ||
|PSYCHIATRIC HISTORY= | |||
*'''2393:''' Dyscalculia diagnosis | |||
|ALCOHOL USE= Socially | |||
|ALCOHOL USE= | |||
|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= TBD | ||
|SIBLING MEDICAL HISTORY= None | |SIBLING MEDICAL HISTORY= None | ||
|MARITAL STATUS & SPOUSE= | |MARITAL STATUS & SPOUSE= N/A | ||
|CHILDREN= | |CHILDREN= N/A | ||
|OCCUPATION= | |OCCUPATION= Science Officer | ||
|DIET= | |DIET= None | ||
|EXERCISE= | |EXERCISE= Jogging and other basic exercise 3+ times a week | ||
|PHYSICIANS NOTE= | |PHYSICIANS NOTE= | ||
* | * | ||
|COUNSELORS NOTE= | |COUNSELORS NOTE= | ||
* | * | ||
}} | }} | ||
[[Category:Medical Records]] | [[Category:Medical Records]] | ||
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