Wallace Williams/Medical Record: Difference between revisions

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(Created page with "{{Sidebar |NAME = Wallace Williams |SHIP = StarBase 118 Ops |RANK = Lieutenant Junior Grade |PIPSTYLE = Slanted |POST = Tactical/Security(currently serving in Security) |...")
 
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|BIRTHDATE= 07
|BIRTHDATE= 07
|SEX= Male
|SEX= Male
|SPECIES= [[Terran
|SPECIES= [[Terran]]
|HEIGHT= 193cm  
|HEIGHT= 193cm  
|WEIGHT= 85
|WEIGHT= 85

Revision as of 16:45, 26 November 2019

StarBase 118 Ops
Wallace JG.png
02-LieutenantJG-Gold.jpg
00-Blank-Gold.jpg
Wallace Williams
Position Tactical/Security(currently serving in Security)
Rank Lieutenant Junior Grade
Species Human
Gender Male
DOB 236610.07
Age 34
Birthplace Sol(New Berlin, Luna Colony)
Writer ID E239504WW0

P(NP)Cs:Adelaide Williams,Terrance Williams,Gau dana Ki,Mitchell de Jager,Nickolai Rashenko,De'Ba'Kel

Awards & Service Ribbons
Awards ServiceRibbons Graduate.jpg
Awards General Tosma1 2011.jpg
Awards Special Xalor 2011.jpg
Awards ServiceRibbons JointMeritoriousUnit 2011.jpg
Awards ServiceRibbons Explorers 2011.jpg


Starfleet Academy Graduate Ribbon
TOSMA
Xalor Clan Xifilis Award
Joint Meritorious Unit Award
Explorer's Ribbon

Starfleet Medical.png

Wallace Williams

MEDICAL RECORD
  • Height: 193cm
  • Weight: 85
  • Blood Type: A+
  • T/E Rating: T0

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:
  • Recreation Drugs:
  • Other:

FAMILY MEDICAL HISTORY

  • Siblings:

SOCIAL HISTORY

  • Marital status:
  • Children:
  • Occupation/Assignment:
  • Diet:
  • Exercise:

PHYSICIANS' NOTES

COUNSELORS' NOTES