Freck/Medical Record

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Freck

MEDICAL RECORD
  • Height: 1.53 m (5'0")
  • Weight: 50 kg (110 lbs)
  • Blood Type: Yellow
  • T/E Rating: T0 NR

PAST MEDICAL HISTORY

  • Chronic Illnesses: None
  • Medications: None
  • Allergies and Reactions: None
  • Sexual/Reproductive History: None

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

None

PAST SURGICAL HISTORY

None

PSYCHIATRIC HISTORY

None

SUBSTANCE USE HISTORY

  • Alcohol: Special Occasions
  • Recreation Drugs: None
  • Other: None

FAMILY MEDICAL HISTORY

  • Parent 1 (Mother): None
  • Parent 2 (Father): Chronic Suppurative Otitis Media
  • Siblings: None

SOCIAL HISTORY

  • Marital status: Single
  • Children: None
  • Occupation/Assignment: Science Officer
  • Diet: Primarily Insectivore
  • Exercise: Endurance Running

PHYSICIANS' NOTES

COUNSELORS' NOTES