Paps is a ghost
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Summary
Name: Sans Gaster
Patient number: 2262016
Ailment: Schizophrenia, Slight Insomnia
New Developments: Sans' visions worsened after falling and hitting his head on the floor. He doesn't look at anyone directly for long periods, eyes often flicking past them, as if he sees more than meets the normal eye. He's been talking to 'Papyrus' more and may need to adjust medication as Doctor %$^&( has suggested.