Tu'Peq/Medical Record

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TU'PEQ

Service Record Personal Life Medical Record Academy Transcript MEDICAL RECORD
  • Date of Birth: 234203.4
    • Age: 59
  • Sex: Male
  • Species: Vulcan
  • Height: 182 cm
  • Weight: 72 kg
  • Blood Type: T+
  • Telepathic Status: T5

PAST MEDICAL HISTORY

  • Chronic Illnesses:
  • Medications:
  • Allergies and Reactions:
  • Sexual/Reproductive History:

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

PAST SURGICAL HISTORY

PSYCHIATRIC HISTORY

SUBSTANCE USE HISTORY

  • Alcohol: Occasional
  • Recreation Drugs: None
  • Other: None

FAMILY MEDICAL HISTORY

  • Mother:
  • Father:
  • Siblings:

SOCIAL HISTORY

  • Marital status: Single
  • Children: None
  • Occupation/Assignment: Science Officer, USS Blackwell
  • Diet: Vegetarian by choice but will not refuse meat if a social situation demands it.
  • Exercise: Practices Suus Mahna[1] three times a week as well as Sha'mura[2] every day before meditating.

PHYSICIANS' NOTES

COUNSELORS' NOTES